“halloween hike” earn a chairperson t-shirt · 2015. 9. 22. · halloween costume! raise $250:...
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To benefit:
Saturday, October 31, 2015 10am - 1pm
Registration Starts at 9am at The Temple to Music in
Roger Williams Park Presented By:
www.BBBSOS.org [email protected]
Raise $25: Earn a T-Shirt
Raise $100: Earn a
Baseball Cap & T-Shirt
Free Family Activities at the Walk
Face Painting, Coffee, Snacks, Pizza Goodie Bags for Kids,
Crafts & More! Prizes for Best
Halloween Costume!
Raise $250:
Earn a Hooded Sweatshirt,
Baseball Cap & T-Shirt
Participation is FREE Fundraising is Encouraged!
Raise $2,500+:
Earn a 21 Speed Bicycle,
Hooded Sweatshirt,
Baseball Cap & T-Shirt
Thank You to Our Sponsors!
Mr. Stephen Yan 1540
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Michael F. Sabitoni President, RI Building &
Construction Trades Council 2015 BIG Walk
“HALLOWEEN HIKE” CHAIRPERSON
Deb Saunders President & CEO
BBBSOS
Gene Valicenti 2015 Honorary BIG Walk
Chairperson Rhode Island’s
Award-Winning Television/Radio
News Anchor WPROAM/FM-WJAR NBC 10
BBBSOS BIG Walk/Halloween Hike 5K
____________________________________________
Name
____________________________________________
Address
____________________________________________
City, State, Zip
____________________________________________
Telephone
____________________________________________
Email Address
Age as of 10/31/2015: ________
(If under 18, a parent or guardian must sign waiver)
____________________________________________
Emergency Contact Name
____________________________________________
Emergency Contact Phone Number________________
I will be participating as a (circle one)
Walker Runner
I have read and agree to the terms of the Liability
Waiver below (waiver must be signed by participant)
Waiver: I understand that my participation in the BBBSOS
5K Run/Walk-a-Thon is voluntary and at my own risk. Under
no circumstances will BBBSOS, its staff, Board of Directors,
volunteers, or institutions associated with this event be
responsible for any injury or damages incurred by me or my
property. I agree to permit the free use of my name &
picture in any broadcast/telecast or other account of the
event.
____________________________________________
Signature
DONATION FORM:
I am unable to participate, but would like to make a
donation to BBBSOS in the amount of $__________.
(Please make checks payable to BBBSOS )
Registration Form Participant Form - Making Fundraising Fun!
Participant’s Name:____________________________________________________________________
Fundraising Goal: _____________________________________________________________________
Team Name: (if applicable):_____________________________________________________________
100% of contributions will benefit
BBBSOS’ Mentoring Programs!
Sponsor Name (please print) Email Address Checks Cash
Jane/John Sponsor [email protected] $25.00
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Total Checks/Total Cash
Total Raised $
Ask family, friends, co-workers, etc. to sponsor your participation by making a donation. Each participant needs his/her own sponsorship form.
Photo copy and attach additional sheets if necessary. All pledge money should be collected before the event and turned in at registration
with this form to BBBSOS. If you are signing up as a Team, include Team name, above, and we will let you know your team total after the event!
Please make checks payable to: Big Brothers Big Sisters of the Ocean State, 1540 Pontiac Avenue, Cranston, RI 02920