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Registration Form
Please complete ALL information
Last Name:__________________________________
First Name:__________________________________
Address:___________________________________
City:________________ State:_____ Zip:__________
Home Phone: ( )_________—_____________
Work Phone: (
)_________—______________
Waiver: In
consideration for accepting this entry, I, the undersigned, intending to
be legally bound, hereby, for myself, my heirs, my executors and
administrators, waive and release any and all rights for damages I may
have against any parties or persons connected with the Father’s Day
Walk. I attest and verify that I am physically fit to participate in any
portion of the Walk. I grant St. Vincent DePaul of Bristol permission
to use any photographs, film, or videotapes of this event for any
purpose.
Signature: _____________________________________
Signature (parent or guardian) if walker is under 18:
__________________________________________
___ “Unable
to attend walk day, I am there in spirit.”
Please make checks
payable to St. Vincent DePaul Mission of Bristol, Inc. or SVDP.
Contributions may be fully tax-deductible.
Total dollars received:
$__________ |
St. Vincent DePaul Mission
of Bristol, Inc.
Sponsor Contribution Form
Sponsor Name (Optional)
Donation
1._________________________$_______
2._________________________$_______
3._________________________$_______
4._________________________$______
5._________________________$______
6._________________________$_______
7._________________________$_______
8._________________________$_______
9._________________________$_______
10.________________________$_______
TOTAL AMOUNT $________
Make checks payable to: SVDP
OR
St. Vincent DePaul Mission of Bristol
Contributions may be fully tax-deductible!
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