your mission, should you choose to accept it, is to participate in … · 2019-02-14 · your...

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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

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Page 1: Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your Mission, should you choose to accept it, is to participate in the Walk for Life benefiting

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

Page 2: Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your Mission, should you choose to accept it, is to participate in the Walk for Life benefiting

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

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

P

AID

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

P

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

P

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

Page 3: Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your Mission, should you choose to accept it, is to participate in the Walk for Life benefiting

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!

------------------------------------------------------------------------------- Cut here --------------------------------------------------------------------------------

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

Page 4: Your Mission, should you choose to accept it, is to participate in … · 2019-02-14 · Your Mission, should you choose to accept it, is to participate in the Walk for Life benefiting

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