seize the ribbon
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Pledge Sheets

Picture
It’s time for the_____ Annual “Seize the Day”At __________________________________location on____________________________

First Name:____________________________________    Last Name:_________________________________________
Dear Potential Sponsor,
I am participating in the “Seize the Day” Walk-A-Thon. All proceeds will help fund Bladder cancer research. You can sponsor me for an amount per square block and can name a maximum amount that you are willing to contribute. Make checks to “Seize the Ribbon”. All contributions are tax-deductible.Thank you!
Sponsor’s Full Name
Street Address
City/State/Zip
Email
Pledge $ 
 

Liability Waiver (Please Read Carefully)
In volunteering to participate in the Seize the Day walk-a-thon for Seize the Ribbon to support bladder cancer research, I hereby agree that this activity shall be at my own risk against all casualties to myself or my property and that I take all risks of any kind, no matter how caused and hereby release and discharge Seize the Day and Seize the Ribbon and indemnify them of and from all actions, claims, demands or every nature and kind whatsoever which I or my heirs  may now or can at anytime thereafter have against the said sponsors of the Walk-a-Thon for Seize the day and or Seize the Ribbon on account of any loss, damage, injury caused by negligence, default or misconduct of the sponsors, themselves, servants, members or otherwise however.
 
Signed ____________________________________ Dated_________________________Please make checks payable to: Seize the Ribbon P.O. Box 104 Mendon, Ma 01756
Recognized by the New York State office of the AttorneyGeneral 
 http://www.charitiesnys.com

Under the Internal Revenue Service code set forth in section 501(c)(3) we are a tax-exempt
organization
  • Home
  • Dr. John Phillips
  • Dr.Sensuke Konno
  • Walk-a-thon
  • Donations /Wear the Ribbon
  • Contact us
  • Pledge Form
  • Walk-a-thon archive
  • Harvest Party
  • Archived Blog
  • Q&A