SWRC
Run/Walk-A-Thon
Pledge Form
The Run/Walk-A-Thon is a fundraising event
to support The Schuylkill Wildlife Rehabilitation Clinic and it's affiliates
in their efforts to care and treat injured and orphaned wildlife.
You can further help the patients at SWRC (and it's affiliates) by obtaining Pledges for your participation.
PRINT this page, fill it out for YOU the Participant, get your supporters to sign up, and bring the page, along with the pledged funds, with you on Race Day.
Be sure to check with your employer and have your supporters check with their employers, to see if they have a MATCHING program.
Participant’s Name_________________________________Home Phone#______________________
Participant's Home Address__________________________________________City_______________________State_______Zip_____________
Business Name____________________________________ Business Phone #_______________________
Business Address________________________________________City_______________________State_______Zip____________
OFFICIAL SPONSOR SHEET
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Sponsor’s Name |
Day Phone # |
Amount Pledged |
Amount Collected |
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| Totals: Pledged/Collected | $ | |||
Please make checks payable
to:
Wild Goose Chase
P.O. Box 126
Willow Grove, PA 19090-0126
©2002,2003,2004,2005 The Schuylkill Wildlife Rehabilitation Clinic
Website by: Chris Mills
Photography by: C.Mills & SWRC Volunteers
Page last revised: 2/24/05