fun walk pledge sheet - Centre on Philanthropy
BREAST CANCER FUN WALK
Wednesday, October 16th 2013 (Rain date Monday, October 21st)
Barr’s Bay Park Walk start: 6:00pm Survivor Celebration: 6:45pm
REGISTER TO WALK Whether this is your first time, or you are a repeat walker, we are honoured that you have chosen to support Bermuda Cancer and Health Centre, as we increase awareness of breast cancer prevention and the importance of early detection.
Registration:
Please complete this form and submit by fax to 236-0880 or email to [email protected] Please disregard if you have already registered online at racedayworld.com
Name: Contact Number:
I am
over 18yrs
under 18yrs of age
Email:
Let us know who you are walking with by checking the appropriate box below: I am an individual Walker Walking as a family (Family Name) Part of a group/team (Team Name) Note: Middle School and Senior School students participating in School Spirit must be registered through their school.
Consider these 2 easy ways to help increase funds raised this year. CORPORATE MATCHING – ask your company if they will match your personal donation/pledges. If they agree, please check this box and provide Company Name: COLLECT PLEDGES – if you collect $166 in pledges, you would cover the cost of a mammogram for someone who canot afford one! See pledge form on reverse side for INCENTIVE PRIZE!
Your Support is important to us! All funds raised will support our charitable outreach initiatives which include our Equal Access Fund and our Education and Awareness Programmes. For further information visit http://www.cancer.bm/get-involved/make-a-donation
WAIVER: In consideration of my participation, I agree to discharge BF&M, Bermuda Cancer and Health Centre, supporting sponsors and volunteers from any claims, damages, personal injuries or property loss.
Signature …………………………………………… (Must be signed by parent/guardian if under 18)
I do not wish to receive additional information from Bermuda Cancer and Health Centre via email
Bermuda Cancer and Health Centre is a registered Charity #070
Wednesday, October 16th 2013 (Rain date Monday, October 21st)
Barr’s Bay Park Walk start: 6:00pm Survivor Celebration: 6:45pm
REGISTER TO WALK Whether this is your first time, or you are a repeat walker, we are honoured that you have chosen to support Bermuda Cancer and Health Centre, as we increase awareness of breast cancer prevention and the importance of early detection.
Registration:
Please complete this form and submit by fax to 236-0880 or email to [email protected] Please disregard if you have already registered online at racedayworld.com
Name: Contact Number:
I am
over 18yrs
under 18yrs of age
Email:
Let us know who you are walking with by checking the appropriate box below: I am an individual Walker Walking as a family (Family Name) Part of a group/team (Team Name) Note: Middle School and Senior School students participating in School Spirit must be registered through their school.
Consider these 2 easy ways to help increase funds raised this year. CORPORATE MATCHING – ask your company if they will match your personal donation/pledges. If they agree, please check this box and provide Company Name: COLLECT PLEDGES – if you collect $166 in pledges, you would cover the cost of a mammogram for someone who canot afford one! See pledge form on reverse side for INCENTIVE PRIZE!
Your Support is important to us! All funds raised will support our charitable outreach initiatives which include our Equal Access Fund and our Education and Awareness Programmes. For further information visit http://www.cancer.bm/get-involved/make-a-donation
WAIVER: In consideration of my participation, I agree to discharge BF&M, Bermuda Cancer and Health Centre, supporting sponsors and volunteers from any claims, damages, personal injuries or property loss.
Signature …………………………………………… (Must be signed by parent/guardian if under 18)
I do not wish to receive additional information from Bermuda Cancer and Health Centre via email
Bermuda Cancer and Health Centre is a registered Charity #070
