Family Walk - Sunday, April 2, 2007 - Micheal Molloy Benefit

Walker’s Name:

Street Address:

City, State & Zip:

Phone Number:

E-Mail Address:

Micheál Molloy Benefit

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Family Walk
Sunday, April 1, 2007
Park Ridge Community Center

Thank you to Angela Gardiner for taking the following photographs!

Family Walk
in Support of Micheál Molloy
Sponsor Sheet

A Family Walk in support of Micheál Molloy will take place at the Park Ridge Community Center, 1515 West Touhy Avenue (at Western Avenue) in Park Ridge, on Sunday, April 1, 2007. The one-mile walk will take place from 3pm-5pm. Refreshments will be served after the walk. For more information, please contact Carmel Staunton at 847.384.0495 or visit: www.michealmolloy.com. Please return sponsor sheet and money at the walk on Sunday, April 1, 2007.

	Sponsor’s Name	Sponsor’s Address (Street, City, State, Zip)	Donation Amount	Amount Collected
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In consideration of the opportunity to participate in this walk, I/we hereby remiss release and forever discharge the sponsoring agents, their members and any other persons staffing this walk in any claims and demands as a result of participation in this event. I/we also clarify that I/we are in good physical shape. Further, I/we hereby grant full permission to any and all the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purposes. I/we realize there are dangers associated with this walk. I/we hereby for myself, heirs, executors or assigns waive and release any and all claims I/we may have against the above listed sponsors, town of Park Ridge, Park Ridge Park District and those participating in, traveling to or returning from this event on April 1, 2007.

Signature:		Signature of Parent or Guardian:

Date:		Date:

Click here to download a Family Walk Sponsor Sheet.

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