Pledge Card Final

Booksin Elementary School Walkathon -- Pledge Card & Sponsor Sheet Parental Permission: I hereby grant permission for my child to participate in the Walkathon. I have read the "Walkathon Guide" and understand the rules.

Student's Name: ____________________________________

Parent Signature: _______________________________________

Teacher's Name: _____________________________________

Home Phone: _________________ Cell: ____________________

Grade: ______ Room #: _______________________________

Work Phone: __________________ Date: ___________________

Your Donations Add Up! Money raised will go to pay for various programs sponsored by BESCA, the parent, teacher and community organization -- and fundraising body.

• Library: Two Books • Classroom Paper & Copies • Sponsors a less fortunate family for School Activity Nights / Yearbook • Fun Fridays: Art & Sport Materials • Art Vistas: Classroom Art Supplies • Booksin Garden: Supplies for one "Thriving Thursday" activity • Science Camp: Financial Assistance for one less fortunate 5th grader • Weekly Reader: Yearly Subscription for one Classroom • Set of Reading Books for the Cornerstone Program • Garden: Soil, fertilizer and flowers for three garden plots • Field trips: Museum or Activity Admission for class trip. • Art Vistas: Clay Supplies

$25 $50

Many critical school programs are funded by BESCA:

$100

• Technology Support • Music Enrichment • Garden Life Lab • Reading Aids/Specialists • Student Practice Workbooks • Science Lab Supplies • School Safety Supplies • Student Planners • Art Vista Supplies • Cornerstone Program • Classroom Enrichment

$150 $200

WAT Committee Use ONLY

Supplemented by Corporate Matching? Y

Sponsor Name

Address

First & Last

Street Address - Zip

Laps: __________

Miles: __________ (C)

Please contact us about our Corporate Matching efforts! Please make checks payable to 'BESCA'

Telephone

Flat Pledge

$$ Per Mile

Walked

Per Mile Ext

Amount Due

A

B

C

BxC

A + (B x C)

Subtotal (Front):

#

$

#

$

Subtotal (Back):

#

$

#

$

TOTAL:

#

$

#

$

Collected

Student Name: ______________________________ Sponsor Name

Address

First & Last

Street Address - Zip

Need more room? Copy this Back Page and attach it with a staple.

WAT Committee Use ONLY

Supplemented by Corporate Matching? Y

Telephone

Subtotal (Back):

Flat Pledge

$$ Per Mile

Walked

Per Mile Ext

Amount Due

A

B

C

BxC

A + (B x C)

#

$

#

$

Collected