PLEDGE FORM

Journey of Discovery

 Walk-A-Thon

A Walk for Life - Albert Street North-Albert Street South

Saturday, May...., 2003

 

Walk Starts at XXX Mall& Ends at the

XXX Mall,

Registration - 6:30am to 7:30am

Opening Ceremony at 7:30am Walk Starts at 7:45am

 

 
Minimum Pledge - $10.00 – T-shirt Included

 

 

 

 

RELEASE –WAVIER –STATEMENT OF FITNESS

I attest that I have trained adequately and I am in proper physical condition, as ascertained by a licensed physician, to walk 10 miles in heat and humidity with limited traffic control, on public roads. I release ??? and volunteers from all claims of loss, injury or illness resulting from my participation in this walk. I give permission for my name and/or picture to be used in any account of this event.

 

SIGNATURE:_________________________________

 

DATE:_________________

 

All entrants (parent/guardian if under 18) must sign

 


 
Pledge Log
Total money collected: $0.00          
Total money pledged: $0.00          
             
  Volunteer Name Phone Pledges Collected Pledges Difference Notes  
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     Total pledges: $0.00 $0.00 $0.00    
             
This worksheet can be used to track pledges. Enter pledges in the white boxes. Excel will calculate the results in the yellow boxes.

This worksheet is locked to preserve the formulas that calculate your results. To unlock the worksheet, go to the Tools menu, select Protection, then choose Unprotect Sheet. This sheet does not use a password.
 
 
 
 
             

 

Please call ?????? for more information

 


Visit Our Website: www.creativeoutdoor.com