MAY 27, 2017
EVENT DETAILS
9:30am
Registra on opens
10:45am
Official welcome
11:00am
Official start of 1KM & 2KM routes
12:00
Lunch for all par cipants
ALL DAY
Live entertainment & fun ac vi es
ROUTE OPTIONS: 1KM WALK or 2KM WALK
The more pledges you collect, the more you WIN! $50 - $499
CLB T-shirt
$500 - $999
$25 gi card + T-shirt
$1,000+
$50 gi card + T-shirt
TOP FUNDRAISER
Grand prize basket
Collec ng pledges ONLINE has never been so easy!
SPONSORS
COLLECT PLEDGES
Both routes are around Burlington Pier
CONTACT: [email protected] / 905-336-2225 ext.320
h p://www.clburlington.ca/walknroll 3057 Mainway, Burlington, ON L7M 1A1
MAY 27, 2017 Spencer Smith Park 1400 Lakeshore Rd, Burlington - Gazebo (East End)
REGISTER ONLINE NOW h p://www.clburlington.ca/walknroll
Postal Code:
Phone Number:
Address: E-mail:
City:
Charitable Registration No. 10681 8826 RR0001
Donor
Last Name
Home Address
123 Main St
ON
Prov.
A1B 2C3
Postal Code
Total Pledges
Burlington
City
$
$20
Pledge
$
$20 or online
Collected
12345
Receipt No. (office use)
Signature of Participant: ____________________ Signature of Parent/Guardian (under 18 yrs old):_____________________
I hereby release and discharge Community Living Burlington, including but not limited to all directors, sponsors and volunteers thereto from and against any and all damages sustained in consequence of any loss, injury or damage to any person or property from any and all ac ons, claims or demands of any nature, resul ng from any ac on and or decision made by Community Living Burlington or any of it’s directors, sponsors and volunteers thereto with respect to Walk’n Roll to be held on the 27th day of May 2017. I understand that my dog must be kept on a leash at all mes during the event. I hereby give permission for photos to be used for repor ng the event and for promo onal purposes.
NSF Cheques subject to a $20.00 fee.
Generous
First Name
Credit card pledges accepted online @ http://www.clburlington/walknroll • Register individually or a team .
h p://www.clburlington.ca
Tax receipts will be issued for $20 or more unless otherwise requested. Donor’s full name & address must be clearly printed on the form below. All cheques should be made payable to Community Living Burlington.
Province:
Name:
Community Living Burlington’s 37th Annual Walk’n Roll • Saturday, May 27th 2017
9:30am
Registra on opens
10:45am
Official welcome
11:00am
Official start of 1KM & 2KM routes
12:00
Lunch for all par cipants
ALL DAY
Live entertainment & fun ac vi es
ROUTE OPTIONS: 1KM WALK or 2KM WALK
The more pledges you collect, the more you WIN! $50 - $499
CLB T-shirt
$500 - $999
$25 gi card + T-shirt
$1,000+
$50 gi card + T-shirt
TOP FUNDRAISER
Grand prize basket
Collec ng pledges ONLINE has never been so easy!
SPONSORS
COLLECT PLEDGES
Both routes are around Burlington Pier
CONTACT: [email protected] / 905-336-2225 ext.320
h p://www.clburlington.ca/walknroll 3057 Mainway, Burlington, ON L7M 1A1
MAY 27, 2017 Spencer Smith Park 1400 Lakeshore Rd, Burlington - Gazebo (East End)
REGISTER ONLINE NOW h p://www.clburlington.ca/walknroll
Postal Code:
Phone Number:
Address: E-mail:
City:
Charitable Registration No. 10681 8826 RR0001
Donor
Last Name
Home Address
123 Main St
ON
Prov.
A1B 2C3
Postal Code
Total Pledges
Burlington
City
$
$20
Pledge
$
$20 or online
Collected
12345
Receipt No. (office use)
Signature of Participant: ____________________ Signature of Parent/Guardian (under 18 yrs old):_____________________
I hereby release and discharge Community Living Burlington, including but not limited to all directors, sponsors and volunteers thereto from and against any and all damages sustained in consequence of any loss, injury or damage to any person or property from any and all ac ons, claims or demands of any nature, resul ng from any ac on and or decision made by Community Living Burlington or any of it’s directors, sponsors and volunteers thereto with respect to Walk’n Roll to be held on the 27th day of May 2017. I understand that my dog must be kept on a leash at all mes during the event. I hereby give permission for photos to be used for repor ng the event and for promo onal purposes.
NSF Cheques subject to a $20.00 fee.
Generous
First Name
Credit card pledges accepted online @ http://www.clburlington/walknroll • Register individually or a team .
h p://www.clburlington.ca
Tax receipts will be issued for $20 or more unless otherwise requested. Donor’s full name & address must be clearly printed on the form below. All cheques should be made payable to Community Living Burlington.
Province:
Name:
Community Living Burlington’s 37th Annual Walk’n Roll • Saturday, May 27th 2017
