Scan this OR code now with your smart phone to register! Saturday, May 2, 2015 Bowie Gymnasium 4100 Northview Drive Bowie, MD 20716 The Pregnancy Clinic is a faith-based, medical non profit serving those facing pregnancy-related and sexual health issues by offering physical, emotional and spiritual support and empowering them to make healthy and life affirming choices. 301-262-1330 p r e g na nc y c l in ic m i ni s t r y . or g Enjoy a great day of volleyball while making the difference of a LIFET IME! Spike for Life ~ Saturday May 2, 2015 Register online using our simple online registration Bowie Gymnasium system! It’s easy to design your own sponsorship Name___________________________________________________________Team Name___________________________________________________ webpage, post it on Facebook and other social media, and email to friends and family. It's a fun Address_________________________________________________________ City/State/zip________________________________________________ and easy way to meet your sponsorship goals and make a difference for LIFE! Register online at Phone___________________________________________________________ email _________________________________________________________ Name Address/email address $20 $25 www.pregnancyclinicministry.org/spike $50 $100 other check cash total Spike for Life Waiver-In consideration of the acceptance of this registration, I waive all claims for myself and my heirs against the Bowie Crofton Pregnancy Clinic, Inc for any injury or illness which may result directly or indirectly from my participation. I attest and verify that I am physically fit and sufficiently trained for this event and a qualified medical person has not advised me otherwise. Further I hereby grant full permission for any likeness of me to be broadcast or used in print media for the event without compensation to me. Signature______________________________________________ (if under 18 years of age, parent or guardian must sign )
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