2007 LIONS Walk-a-Thon
For the benefit of "Leader Dogs for the Blind"
and other local Lions Sight Conservation projects
Sponsored by the Blacksburg Host and Breakfast Lions Clubs
Saturday, September 8, 2007
Start between 8 and 10 a.m., finish before noon.
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Walker's Name |
Dog's Name |
Address |
Phone Number |
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Print Sponsor's Full Name and Address |
Phone No. |
$/Mile |
Donations Only |
Total Amt. Paid |
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Total Miles Walked |
Approved |
Total Contribution |
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* Please turn in sponsor money and this form before starting your walk. Make Checks Payable to Blacksburg Lions Club.
I release the Blacksburg Lions Clubs from any injuries, or damages which may occur during participation.
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(Signature of walker. If under 18, signature of parent or guardian.)