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Rock-A-Thon sign up form
last updated: 2009-10-01 15:51:01

Rock-A-Thon Benefiting Breath Of Life Maternity Ministries 2009 Commitment Agreement I agree to participate as a Rocker in the upcoming Rock-A-Thon, beginning Sunday October 11th at 7:00 p.m. I am looking forward to rocking hard for a great cause! I understand that the Rock-A-Thon lasts for twelve hours with food, friends, fun entertainment, and ends Monday, October 12th at 7:00 a.m. Location: Hill Country Bible Church Pflugerville – the High Dive room. Prizes will be given out to the Rocker who raises the most money and to the one who signs up the most rocking, fundraising friends! (please initial, fill out and date below. Write clearly!) I agree to find other friends to rock with me:_____________ I was asked to “rock” by my friend: _________________________________ I agree to get as many people as possible to sponsor me to rock to raise money for Breath Of Life:_______________ I agree to help clean up the High Dive room to return it to its prior condition on Monday morning. ________________ I am able to provide _______ (number of, any) rocking chairs to help with this great event! Name:________________________________________________________ Address:______________________________________________________ City/State/Zip:_________________________________________________ Email:________________________________________________________ Phone:_______________________________________________________ Signature:___________________________________ Date:_____________ Parent’s Signature (if under age 18):________________________________ (parents, please pick up your kids promptly at 7:00 a.m.) Date:____________________________ I’m Gonna Rock All Night!