P.A.T.H.S.

Parents and Teachers Helping Students.

Modified: Tuesday, April 1, 2008

Walk-A-Thon for Fitness

Sponsor Sign up Sheet

Thank You For Your Support!

Per Lap Donation:
$0.50 cents per lap
$1.00 per lap
$2.00 per lap

Flat Rate Donation
Whatever you wish to donate ($10, $20, $50…)

ALL DONATIONS ARE TAX DEDUCTIBLE
The donation pledges and/or one-time pledge donations can be collected after the March 30th
Walk-a-Thon, or you can pay a flat rate in advance.

PLEASE MAKE CHECKS PAYABLE TO
V.S.A.F.A.
Fed ID# 95-4768797



STUDENT NAME_______________________________




LAPS WALKED_________________________________




TEACHER________________________RM__________

Name

Address

Telephone

PER LAP

Total Laps

Amount Collected

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