Last Name:
First Name:
Your Email Address:
Home phone number:
Mobile phone number:
Address/City/Zip
Other Walkers:
Include name &
relationship

THANKS SO MUCH FOR YOUR SUPPORT

Please be sure to download and print  the
Walker Pledge Sheet    
Donor Receipt Sheet  
Accident Waiver and Release of Liability
Form
Also, please give a Donor Receipt Sheet to
your sponsors and bring the Walker Pledge
Sheet & Accident Waiver & Release Form to
the Walk.
2015 FRIENDS OF THE POOR WALK
REGISTRATION & DONATION FORM
We appreciate any
donations you may wish to
make
for the Friends of the Poor
Walk.  You can donate by
clicking on the Donate
button below which will
take you to a
secure donation site.