Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your...
Transcript of Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your...
Your Mission, should you choose to accept it, is to
participate in the Walk for Life benefiting the
Hollister Pregnancy Center!
Saturday October 14, 2017 Registration: 8 AM
Walk: 9 AM
Raffle & Award Ceremony: 11 AM
For more information:
(831) 637-4020
483 Fifth Street
www.hollisterpregnancycenter.com
WALKER NAME ___________________________________________________ (Walkers under the age of 18 will need a parent or guardian to sign the release of liability on page 3)
ADDRESS __________________________________________________________________ CITY / STATE / ZIP___________________________________________________________ PHONE____________________________________________________________________
(Keep me updated) EMAIL
SPONSOR PLEDGE FORM
Make checks payable to Hollister Pregnancy Center. PLEASE PRINT ALL INFORMATION AND INDICATE PLEDGE AMOUNT.
You are encouraged to collect all pledges as they are made, if at all possible. Pledges of $10.00 or less will not be billed.
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
P
AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
PA
ID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
PA
ID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
P
AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
P
AID
First _______________ Last ______________________________
Address ______________________________________ Apt. ____
City/State/Zip __________________________________________
Phone _______________ Cash Check #_______ Bill Me
$35 $75 $150 Other $ ________ Website/PayPal
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AID
Bankers Name ___________________________________
Total $$ paid ___________ Total # paid __________ Total $$ billed __________ Total # billed __________ Total $$ pledged ________ Total # sponsor________
Total amount of cash & checks turned in_________________________
Total amount of money pledged_____________________
WALKERS: PLEASE FILL OUT BANKERS USE ONLY
483 Fifth Street Hollister, CA. 95023 831-637-4020 ~ hollisterpregnancycenter.com Page 2
LIABILITY RELEASE
“How do I get started?” Ask everyone you know to sponsor you for the Walk. You’ll be surprised at how many will say YES!
At work: co-workers, staff, your boss ~ Family: parents, brothers, sisters ~ Friends: church, clubs, work ~ Shopping: clerks ~ Neighbors: students and anyone else who knows you. ~ E-mail or Mail-out: use your address book. “Do I have to collect the money?” Collect as many pledges as possible to help save on expensive postage. Turn in your money envelope with your Sponsor Pledge Form the day of the Walk at your team table. “How far do I have to walk” 2 Miles starting at the Center and going through downtown Hollister. There will be fun stops along the way! “What if I can’t be there that day or it rains?” Drop off your money envelope with your Sponsor Pledge Forms to HPC, 483 5th Street (corner of West and 5th Street) or give the forms to your team leader. The walk is rain or shine!
WHERE TO MEET
Team Leader Table: Check-in with your team leader when you arrive at the walk. Turn in pledge form & money. Sign & turn in liability forms. Pick up your t-shirt & PUT IT ON!
Enjoy refreshments. Warm up with Zumba!
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Walkers under the age of 18 will need a parent or guardian to sign the release of liability and bring it with you to the Walk (Please turn in the signed release at the time of check in)
I release Hollister Pregnancy Center from any liability for this event. I give permission for this organization to use any photographs taken at this event for future promotional material.
Walkers’ Signature: _____________________________________________________________ (if under 18, have parent sign below)
If more than one person walking in a family is under the age of 18, please list their names: ___________________________________
_______________________________________________________________________________________________________________ Parent or Guardian Signature: _______________________________________________________________________________________ (If walker(s) is under 18 years of age)
Page 3
FREQUENTLY ASKED QUESTIONS
LIABILITY RELEASE
483 Fifth Street Hollister, CA. 95023 831-637-4020 ~ hollisterpregnancycenter.com Page 3
LOCATION
Hollister Pregnancy Center offers these services at …No Cost
~ Pregnancy Testing ~ STD testing, diagnosis and treatment ~ Consultation with a medical professional ~ Limited obstetrical ultrasound ~ Pregnancy information / Abortion alternatives ~ Abotion Pill Revearsal ~ Referrals to community resources and agencies ~ Post abortion peer counseling / Prevention education
Hollister Pregnancy Center 483 Fifth Street (Across from the library on the corner)
Saturday, October 14, 2017
Registration: 8 AM Walk: 9 AM ~ Raffle & Award Ceremony: 11 AM
For more information check our website: hollisterpregnancycenter.com
RAFFLE AND AWARDS
1. Every walker receives one raffle ticket & one t-shirt (while supplies last.)
2. Raffle tickets can be purchased at the walk.
3. 1st, 2nd & 3rd place prizes will be awarded in 3 categories: adult, youth, and child.
4. Disneyland tickets awarded to the person who raises the most money!
Complimentary Refreshments
Join us for all the fun! Entertainment, Jump House, Face
Painting & Much More!!
INFORMATION
Hollister Pregnancy Center is a licensed Medical Clinic, staffed with trained, knowledgeable, caring individu-als. Limited medical services and accurate information are offered in a safe, supportive environment. Our medical staff and peer counselors answer our client’s questions, talk with them about their options and provide them with positive solutions.
ABOUT HPC
483 Fifth Street Hollister, CA. 95023 831-637-4020 ~ hollisterpregnancycenter.com Page 4
Raffle Tickets Suggested Donation $1.00 ea or 6 for $5.00
Every participant will receive a FREE t-shirt (while supplies last!)
RAFFLE & AWARDS