Sponsor Form
Let us know you're coming

Participants, do not forget to register. Collect your pledges from your sponsors using this form. You must have your actual pledges with this form present when you check in to begin your journey.
Participant's Name: ________________________ Phone: _________________
Address: ___________________________________ Team Name: _____________

• Make additional copies of this form as needed.
• A collection envelope will be mailed as soon as we receive your completed registration form and fee.
  Bring all monies the day of the event to qualify for prizes.
• Keep a copy of this sheet for your records
• Sponsorship commitments:
  Individual: Walking $20/20 pledges/4 miles; Cycling $20/20 pledges/4 miles, $30/20 pledges/20 miles, $50/50 pledges/62 miles.
  Family: Walking $30/30 pledges/4 miles; Cycling $30/30 pledges/4 miles, $50/40 pledges/20 miles, $75/50 pledges/62 miles.
  

Sponsors pay only by check, payable to: Cooley's Anemia Foundation, Inc.

Sponsor Name	Address (City, State, Zip)	Contribution

Participants, attach this form to all pledges and bring with you to check in at event.