Walk 4 Life
Saturday, May 9, 2015
I am participating in the Walk 4 Life Saturday, May 9, 201 5. All proceeds will go directly to Pro-Life Mississippi to help educate people about Life issues. Please record the amount that you
are contributing. Make checks payable to Pro-Life Mississippi. All contributions are tax-deductible. Thank You !!
Prizes will be awarded to the top 3 Fundraisers. Please bring this form, along with your donations to the event on May 9th.
RELEASE FORM: Upon acceptance of this entry form, I waive all claims for myself and my heirs against the race officials and sponsors of the Walk 4 Life for injury or illness from direct or indirect
participation. I also grant permission to use any photographs or other promotional record of this event for any legitimate reason. Sign: ______________________________________________
Sponsor’s Name:
Sponsor’s Address:
Phone Number
Pledge Amount
Amount Collected
from Sponsor
Check Number
Walk 4 Life
Food and Prizes!!
May 9, 2015
Start Time: 7:30 a.m. Every walker who turns in $25 in pledges will receive a tshirt.
After the walk, BRUNCH WILL BE PROVIDED at St. Richard’s Foley Hall
for all walkers and workers by the Knights of Columbus.
For more information on how you can take part in this event, please contact our office at 6019568636.
Meet at 7:00 am at St. Richard’s parking lot, 1242 Lynwood Dr. Jackson, Ms 39206. The
route: At 7:30, we will walk west on Lynwood Dr. turning left onto Manhattan Rd., then left
onto Meadowbrook Rd., right onto Old Canton Rd., right onto Duling St., and left onto N.
State St. We will pray at the abortion clinic at 2903 N. State St., and then walk back the
same route to St. Richards. Walk is 2 miles each way, a total of 4 miles.
Sponsor:
St. Richard's Catholic Church &
St. Richard Council Knights of Columbus
Special Thanks:
Hinds County Sheriff's Department
All our Volunteers
Walker Contact Information
Name: _______________________________________
Address: _____________________________________
_____________________________________
Email: _______________________________________
Phone: _______________________________________