Upstate Fdn

Upstate Foundation Logo

• Handicap Accessible • Bumper Bowling and Ramps Available •

All proceeds to benefit the Upstate University Hospital Stroke Fund to support:

patient and family education
direct patient care needs
raising community awareness

Registration deadline is Wednesday, April 19.

Entry fee includes a t-shirt, 2 games of bowling and shoe
rental. The evening will include a silent auction. WALK-INS ARE WELCOME!

For more information, contact the Upstate Stroke Program: 315-464-6178

Are you a stroke survivor?

Stroke Survivor

$20

Adult Stroke Tshirt size

Non Stroke Survivor

$35

Non-suvivor Adult Tshirt Sizes

Couple: Stroke Survivor plus spouse

$50

Stroke Survivor Tshirt Size

Spouse Tshirt Size

Couple: Non Stroke Survivor

$65

Bowler #1 Tshirt Size

Bowler #2 Tshirt Size

Youth (12 and under)

$20

Youth (12 & under)

Child Tshirt Size

Child #2 Tshirt Size

Child #3 Tshirt Size

Child #4 Tshirt Size

Family of 4: 2 adults, 2 children under age 14

$100

Adult 1 Tshirt Size

Adult 2 Tshirt Size

Child 1 Tshirt Size

Child 2 Tshirt Size

Group: Team of 5

$150

Adult Bowler #1 Tshirt Size

Adult Bowler #2 Tshirt Size

Adult Bowler #3 Tshirt Size

Adult Bowler #4 Tshirt Size

Adult Bowler #5 Tshirt Size

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Donor hereby approves the payment of the charitable donation and/or purchase to Upstate Foundation and in the amount set forth herein.