Health Mission Half Marathon and 5K

Pledge Form Benefiting St. Clare Health Mission

 For further support for the Health Mission, participants may get pledges. 

 

Competitors Name, Address and Telephone Number:

_______________________________________________

_______________________________________________

 *Each participant is responsible for collecting and turning in pledges at time of registration to qualify for drawing.
  Name (Last,First)

Mailing Address

 City State Zip Pledge Paid
   

(include for tax deduction purpose)

        
 
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