YES! I will walk-the-walk on Saturday June 6th. Here are my sponsors

My Name: ___________________________________Address: _________________________________________Apt.______

City _______________________ ____ State________Zip______________Telephone ( ) ____________________

Church name ________________________ email:__________________________Im on Facebook Yes___ No ___

First name __________________________Last name_______________________________________

Address ____________________________Apt.____ City ______________State ________Zip______

Circle one $15 $20 $25 $50 $75 $100 $150 $200 (other) $________

First name __________________________Last name_______________________________________

Address ____________________________Apt.____ City ______________State ________Zip______

Circle one $15 $20 $25 $50 $75 $100 $150 $200 (other) $________

First name __________________________Last name_______________________________________

Address ____________________________Apt.____ City ______________State ________Zip______

Circle one $15 $20 $25 $50 $75 $100 $150 $200 (other) $________

First name __________________________Last name_______________________________________

Address ____________________________Apt.____ City ______________State ________Zip______

Circle one $15 $20 $25 $50 $75 $100 $150 $200 (other) $________

First name __________________________Last name_______________________________________

Address ____________________________Apt.____ City ______________State ________Zip______

Circle one $15 $20 $25 $50 $75 $100 $150 $200 (other) $________

Make a donation online @ www.gateway.org / More information: (973) 399-8378 Additional sponsors on the back

WALK-FOR-THE-LITTLE-

ONES SPONSOR FORM

SPONSORSHIP FORM

10:00 am Saturday June 6, 2015

Nomahegan Park, Cranford, NJ

Proceeds benefit the

community work of

Gateway Pregnancy

Centers

FREE picnic for all sponsored walkers

My fundraising goal is $