Sponsorship Form - Lakeshore Pregnancy Center

LAKESHORE PREGNANCY CENTER’S LIFEWALK 2015
SPONSOR PLEDGE FORM
Walker’s Name:
2015
City:
Zip:
Phone:
E-mail:
See insert for incentives and prizes!
Church:
Teams: Please staple all pledge forms together.
Mailed
Zip
Email
City
Mailing
Lists?
Receipt?
Paid
None
Sponsor’s Address
Pledge
Amount
Cash
Sponsor’s Email
NOTE: If you have online sponsorship, please attach your printed list of sponsors to this form.
Check #
Make Checks Payable to: Lakeshore Pregnancy Center
Sponsor’s Name
Street Address:
My Goal is: $
Total Pledged:
$
Total Collected:
$
Total Uncollected: $
Y/N
PLEASE READ AND SIGN THE RELEASE OF LIABILITY.
To participate in LifeWalk , please sign the following:
I waive all claims for myself and my heirs against Lakeshore Pregnancy Center for any injury or illness which may result directly or indirectly from my participation. I further state that I am in proper physical condition to
participate in this event. I understand that my photo may be taken during the event, and I agree to its use in promotional materials for LPC. If I do not agree to this, I must submit a letter/email stating so, before the event.
Participant Signature:
(Parent/legal Guardian must sign for person under 18)
ALLENDALE—4623 Lake Michigan Dr. / 616.895.1893
lakeshore pregnancy center
lpcenters.com
*
ALLEGAN—114 Chestnut / 269.686.7111
*
GRAND HAVEN—700 Washington #130 / 616.842.7510
*
HOLLAND –339 S River Ave. / 616.396.5840
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Celebrating life by providing
quality education and support
for moms and dads as they
begin their parenting journey.
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Men supporting expectant fathers
with pregnancy option information
and parenting education.
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lpcenters.com
lakeshore pregnancy center
Lakeshore Pregnancy Center is a Christ-centered ministry that responds to
unplanned pregnancy and believes that every life matters, healthy relationships
are vital, Biblical sexuality is possible and Hope is eternal.
Bringing sexual and relational
health education to students,
and equipping them to choose
healthy lifestyles.
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Providing confidential,
compassionate, and
professional medical care
for women and men facing
an unplanned pregnancy.
a service of Lakeshore Pregnancy Center
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LifeWalk is a two mile walk celebrating life and you
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WALK FOR THE LIFE IN YOUR LIFE!