2012 walk sponspr form front and back
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The Walk for Life event organized by the Fredericksburg Pregnancy Center will take place on October 6, 2012 from 8:30 am to 11:30 am at 1616 Stafford Avenue in Fredericksburg, VA. Participants can register starting at 8:30 am and the 3-mile walk will begin at 9 am. The event aims to raise $30,000 to support the pregnancy center's programs and services. Participants are encouraged to seek sponsors to support their walk and collectively help reach the fundraising goal. Recognition and refreshments will be provided to participants from 11:00 am to 11:30 am after the walk.
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2012 walk sponspr form front and back
- 1. Walk for Life TIME: 6 October 2012 Registration 8:30 am Walk Starts 9 am 2 John 6 (rain or shine) Walking in LOCATION: 1616 Stafford Ave. Fredericksburg, VA 22401 Love VISIT: partners-of-FPC.org for more information Steps for Success Event time-line 1. Contact friends and family! Share our event by asking 8:30 am - Registration & Check in them to sponsor you or encourage them to become a 9:00 am - Walkers leave (3 miles) sponsored walker. 11:00 am - Recognition & Appreciation! 2. Complete all sponsor information. Collect all cash & check donations from your sponsors before the Walk. 11:30 am - FPC Open House 3. Sign the release below & bring this completed sponsorship form with checks and cash to the event. HELP increase the scope of our Walk for Life. 4. Hosted at: Fredericksburg Pregnancy Center 1616 Stafford Avenue Sign up as Liaison Fredericksburg, VA 22401 Keep your church informed. 5. Prize awarded to youth group for highest money raised. Contact FPCBoardChairman@gmail.com or call 540.729.0812 Our GOAL : To enter you must sign the Release Statement below: To raise $30,000. In consideration of the acceptance of this entry, I will waive all claims for myself and my heirs If each participant against the Fredericksburg Pregnancy Center for any injury or illness that may result directly sets a personal from my participation in the 2012 Walk for Life. I will follow trail guidelines as given by the goal of $300, Event Marshal. I further state that I am in proper physical condition to participate in this event. together we can Signature _________________________________________________ Date __________________ make it happen. Parent or Guardian must sign for participants under 18 years. ???? I authorize use of my photo or likeness in future FPC marketing materials. (Online and Print)
- 2. Sponsored Walker:____________________________ Address:____________________________________ City, State & Zip:______________________________ Fredericksburg Pregnancy Center Phone #:____________________________________ Walk for LIFE Email: ______________________________________ Church Name:________________________________ Saturday, October 6, 2012 (Rain or Shine) Adult ? Teen ? Child ? Youth Group ? (Please complete all information. All donations are tax deductible). First_______________ Last___________________ First_______________ Last___________________ Address__________________________________ Address___________________________________ City__________________ST______Zip__________ City__________________ST______Zip__________ Phone____________________________________ Phone____________________________________ Email ____________________________________ Email ____________________________________ ? $20 ? $25 ? $50 ? $100 ? Other $_______ ? $20 ? $25 ? $50 ? $100 ? Other $______ ? Paid ? Cash ? Check #_______ ? Add to Mail List ? Paid ? Cash ? Check #_______ ? Add to Mail List First_______________ Last___________________ First_______________ Last___________________ Address__________________________________ Address__________________________________ City__________________ST______Zip__________ City__________________ST______Zip__________ Phone____________________________________ Phone____________________________________ Email ____________________________________ Email ____________________________________ ? $20 ? $25 ? $50 ? $100 ? Other $_______ ? $20 ? $25 ? $50 ? $100 ? Other $______ ? Paid ? Cash ? Check #_______ ? Add to Mail List ? Paid ? Cash ? Check #_______ ? Add to Mail List First_______________ Last___________________ First_______________ Last___________________ Address__________________________________ Address__________________________________ City__________________ST______Zip__________ City__________________ST______Zip__________ Phone____________________________________ Phone____________________________________ Email ____________________________________ Email ____________________________________ ? $20 ? $25 ? $50 ? $100 ? Other $_______ ? $20 ? $25 ? $50 ? $100 ? Other $______ ? Paid ? Cash ? Check #_______ ? Add to Mail List ? Paid ? Cash ? Check #_______ ? Add to Mail List First_______________ Last___________________ First_______________ Last___________________ Address__________________________________ Address__________________________________ City__________________ST______Zip__________ City__________________ST______Zip__________ Phone____________________________________ Phone____________________________________ Email ____________________________________ Email ____________________________________ ? $20 ? $25 ? $50 ? $100 ? Other $_______ ? $20 ? $25 ? $50 ? $100 ? Other $______ ? Paid ? Cash ? Check #_______ ? Add to Mail List ? Paid ? Cash ? Check #_______ ? Add to Mail List First_______________ Last___________________ First_______________ Last___________________ Address__________________________________ Address__________________________________ City__________________ST______Zip__________ City__________________ST______Zip__________ Phone____________________________________ Phone____________________________________ Email ____________________________________ Email ____________________________________ ? $20 ? $25 ? $50 ? $100 ? Other $_______ ? $20 ? $25 ? $50 ? $100 ? Other $______ ? Paid ? Cash ? Check #_______ ? Add to Mail List ? Paid ? Cash ? Check #_______ ? Add to Mail List Total this page: $________Total Overall: $_________ For additional forms feel free to photocopy this page, or download it from our ministry website at: Partners-Of-FPC.org