The Walk for Life event organized by the Fredericksburg Pregnancy Center will take place on October 6, 2012 from 8:30 am to 11:30 am at 1616 Stafford Avenue in Fredericksburg, VA. Participants can register starting at 8:30 am and the 3-mile walk will begin at 9 am. The event aims to raise $30,000 to support the pregnancy center's programs and services. Participants are encouraged to seek sponsors to support their walk and collectively help reach the fundraising goal. Recognition and refreshments will be provided to participants from 11:00 am to 11:30 am after the walk.

1. Walk for Life
TIME: 6 October 2012
Registration 8:30 am
Walk Starts 9 am 2 John 6
(rain or shine) Walking in
LOCATION:
1616 Stafford Ave.
Fredericksburg, VA 22401
Love
VISIT:
partners-of-FPC.org
for more information
Steps for Success Event time-line
1. Contact friends and family! Share our event by asking 8:30 am - Registration & Check in
them to sponsor you or encourage them to become a 9:00 am - Walkers leave (3 miles)
sponsored walker.
11:00 am - Recognition & Appreciation!
2. Complete all sponsor information. Collect all cash &
check donations from your sponsors before the Walk.
11:30 am - FPC Open House
3. Sign the release below & bring this completed
sponsorship form with checks and cash to the event. HELP increase the scope of our Walk for Life.
4. Hosted at: Fredericksburg Pregnancy Center
1616 Stafford Avenue Sign up as Liaison
Fredericksburg, VA 22401 Keep your church informed.
5. Prize awarded to youth group for highest money raised. Contact FPCBoardChairman@gmail.com or call 540.729.0812
Our GOAL : To enter you must sign the Release Statement below:
To raise $30,000. In consideration of the acceptance of this entry, I will waive all claims for myself and my heirs
If each participant against the Fredericksburg Pregnancy Center for any injury or illness that may result directly
sets a personal from my participation in the 2012 Walk for Life. I will follow trail guidelines as given by the
goal of $300, Event Marshal. I further state that I am in proper physical condition to participate in this event.
together we can Signature _________________________________________________ Date __________________
make it happen. Parent or Guardian must sign for participants under 18 years.
 I authorize use of my photo or likeness in future FPC marketing materials. (Online and Print)

2. Sponsored Walker:____________________________
Address:____________________________________
City, State & Zip:______________________________
Fredericksburg Pregnancy Center Phone #:____________________________________
Walk for LIFE Email: ______________________________________
Church Name:________________________________
Saturday, October 6, 2012 (Rain or Shine) Adult  Teen  Child  Youth Group 
(Please complete all information. All donations are tax deductible).
First_______________ Last___________________ First_______________ Last___________________
Address__________________________________ Address___________________________________
City__________________ST______Zip__________ City__________________ST______Zip__________
Phone____________________________________ Phone____________________________________
Email ____________________________________ Email ____________________________________
 $20  $25  $50  $100  Other $_______  $20  $25  $50  $100  Other $______
 Paid  Cash  Check #_______  Add to Mail List  Paid  Cash  Check #_______  Add to Mail List
First_______________ Last___________________ First_______________ Last___________________
Address__________________________________ Address__________________________________
City__________________ST______Zip__________ City__________________ST______Zip__________
Phone____________________________________ Phone____________________________________
Email ____________________________________ Email ____________________________________
 $20  $25  $50  $100  Other $_______  $20  $25  $50  $100  Other $______
 Paid  Cash  Check #_______  Add to Mail List  Paid  Cash  Check #_______  Add to Mail List
First_______________ Last___________________ First_______________ Last___________________
Address__________________________________ Address__________________________________
City__________________ST______Zip__________ City__________________ST______Zip__________
Phone____________________________________ Phone____________________________________
Email ____________________________________ Email ____________________________________
 $20  $25  $50  $100  Other $_______  $20  $25  $50  $100  Other $______
 Paid  Cash  Check #_______  Add to Mail List  Paid  Cash  Check #_______  Add to Mail List
First_______________ Last___________________ First_______________ Last___________________
Address__________________________________ Address__________________________________
City__________________ST______Zip__________ City__________________ST______Zip__________
Phone____________________________________ Phone____________________________________
Email ____________________________________ Email ____________________________________
 $20  $25  $50  $100  Other $_______  $20  $25  $50  $100  Other $______
 Paid  Cash  Check #_______  Add to Mail List  Paid  Cash  Check #_______  Add to Mail List
First_______________ Last___________________ First_______________ Last___________________
Address__________________________________ Address__________________________________
City__________________ST______Zip__________ City__________________ST______Zip__________
Phone____________________________________ Phone____________________________________
Email ____________________________________ Email ____________________________________
 $20  $25  $50  $100  Other $_______  $20  $25  $50  $100  Other $______
 Paid  Cash  Check #_______  Add to Mail List  Paid  Cash  Check #_______  Add to Mail List
Total this page: $________Total Overall: $_________
For additional forms feel free to photocopy this page,
or download it from our ministry website at: Partners-Of-FPC.org