SWRC Goose
Chase
Run/Walk-A-Thon
Sponsorship 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.
If you already know someone who is participating in the SWRC Goose Chase Run/Walk-A-Thon, please contact that person directly, or PRINT this page, fill in that person's name and address as the participant and your own name and address as pledge sponsor and mail it with your check to the address indicated below.
[If you would like to help our patients by sponsoring someone, but do not know anyone already participating, please use the Special Sponsorship Form. ]
Be sure to check with your employer 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 & Address |
Day Phone # |
Amount PledgedEnclosed |
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| Totals: Pledged/Enclosed | $ | ||
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