Walker Registration
& Medical Release

All Participants In The 2017 Walk For Life
must complete this form.

Name *
Name
Parent or Guardian (if under 18)
Parent or Guardian (if under 18)
Address
Address
Phone
Phone
Emergency Contact
Emergency Contact
Phone
Phone
Doctor
Doctor
Phone
Phone

WALK FOR LIFE
Saturday,
September 30, 2017
8:30a

Walk begins & ends in
Ventura’s Harbor Cove Beach

parking available on spinnaker drive

DOWNLOAD SPONSOR FORMS

 

Do I have to collect the money?  
Pre-collect all pledges of cash & checks.  Please encourage people to pay by check.  Mark the amount paid on your Sponsor Pledge Sheet and turn in all pledges with your forms at the Walk.   

How much money can I raise & what will it be used for?  
There is no limit & you’ll be surprised how easy it is.  9 out of 10 people typically say ‘Yes’.  The more people you ask, the more help we will be able to provide by way of Free Pregnancy Tests, Limited Obstetric Ultrasound, Confidential Counseling, Good Medical Referrals, Earn While You Learn Program, Temporary Housing Referrals, Financial Assistance, Abstinence Education, Information On Fetal Development, Maternity Clothes, Baby Clothes, Baby Furniture & Baby Supplies.  

What if I can’t be there on September 30th?  
No problem.  All we ask is that you walk the course on your own and then mail in your pledge form(s) & collected funds to the Ventura County Pregnancy Center.  

How do I ask someone to sponsor me?  
Simply ask everyone you know... “What would you give to help save a life?”  You’ll be surprised at the number of people who will support you.  Talk to coworkers, relatives, neighbors and acquaintances.  

How do I get involved?  
Go to venturacpc.org to complete the online registration form. Or complete the registration form below & mail it to the Ventura County Pregnancy Center.  Please Pre-Register. Pre-registration saves check-in-time on the day of the event.  However, you can register at the Walk.

DOWNLOAD SPONSOR FORMS