PLATINUM LEVEL WALK SPONSORS
CareNet Pregnancy Centers and Mentoring Programs
Walk Fundraiser
Saturday, September 12, 2015
GOLD LEVEL WALK SPONSORS
John David
Dawson Agent
Last year we kissed a pig, this year. . . . .
SILVER LEVEL WALK SPONSORS
LEAVITT
HARVESTING
& Natural Fertilizer Co
346-4727
Internal
Medicine Doctors
(806) 355-9741
Alan W. Keister, M.D., Nam H. Do,M.D.,
Steven K. Norris, M.D.
CareNet P.O. Box 50342 Amarillo, TX 79159 (806)-354-2288 www.thehopechoice.com
Challenge your small group, youth group, family, and friends and
form a TEAM! If your group raises at least $1,000, your leader or a
member of your group who you choose gets put in the dunking
booth! Put your pastor, youth minister, teacher, boss, etc in the dunking booth and watch them get soaked for a great cause! Also, dunking
booths will be available for everyone—3 balls for $5. So kids get
ready to dunk your dad! All ages can participate! We cant wait to see
you there!
6709 Woodward, Amarillo (806) 354-2288
Registration starts at 8:30 a.m. Walk Starts at 9:00a.m.
Walk Participant Information
My Goal Is
Name __________________________________________________
$150
$250
$500
$1,000
$_____
Address_________________________________________________
City/State/Zip____________________________________________
IMPORTANT WALK INFORMATION
You do not have to collect money. The money will be collected by CareNet.
Challenge your small group, youth group, family, and friends. This is not an athletic event—all ages can participate and there will be fun for the whole family!
You can walk in your own neighborhood on a separate day if you are unable to
walk on September 12th. Simply walk two miles and then mail your sponsorship
form to our address.
Phone_____________________Team/Church Group________________________
PRIZES
Email______________________________________________________________
Signature___________________________________________________________
(I release this organization from any liability for this event)
SPONSOR PLEDGE INFO
Paid 
Please PRINT all information and indicate the total pledge desired.
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$25
$50
$25
$50
$25
$50
$25
$50
$25
$50
Total pledges this form _____________
$25
$50
Zip___________
$100 Other $________________Company Matching Funds _______________________________
Zip___________
$100 Other $________________Company Matching Funds _______________________________
Zip___________
$100 Other $________________Company Matching Funds _______________________________
Zip___________
$100 Other $________________Company Matching Funds _______________________________
Zip___________
$100 Other $________________Company Matching Funds _______________________________
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Zip___________
$100 Other $________________Company Matching Funds _______________________________
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$50
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$25
Zip___________
$100 Other $________________Company Matching Funds _______________________________
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$50
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$25
Zip___________
$100 Other $________________Company Matching Funds _______________________________
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$50
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
$25
First ____________________________ Last____________________________ Address ________________________________________City/State___________________
Email ______________________________________ $20
Paid 
Receive a FREE T-shirt with $150 in pledges (an average of 12 sponsors).
Receive a FREE Sweatshirt/Hoodie with $250 in pledges.
Zip___________
$100 Other $________________Company Matching Funds _______________________________
Total paid this form _____________
Total paid all forms _____________ TOTAL ALL PLEDGES _______________