14th Annual Walk for Canine Cancer 2016 14

Transcription

14th Annual Walk for Canine Cancer 2016 14
REGISTRATION FORM
FORME D’ENREGISTREMENT
SPONSORS:
Circle location of the walk
Encercler l'emplacement de votre promenade
Burlington
Montréal
Last Name/ Nomde famille :
GREAT PRIZES
1st, 2nd and 3rd prizes for top pledge collectors
Prizes for $100 and up pledge collectors
Gift Bags to first 100 online registrants
First Name/ Prénom :
Address/ Addresse :
Burlington Walk Information
BEACHWAY PARK (at the Pump House)
Lakeshore Road, Burlington, Ontario
Registration at 10am, Walk begins at 11am
City / Ville :
Province :
PostalCode/ CodePostal :
• PavedpathalongLake Ontario.• Dogsmustbe on leash. • Dogsare notallowed
on the beach.• Therewill be 2 trails to choosefrom,a 2km walk or 4 km
walk - outand back. • Water and Pizza will be availableat the event. • Washroom
facilitiesand city Snack Bar on site. • In the eventof rain, the PumpHousewill be
tables. • Free Parking.• Walk starts
usedfor registration,merchandiseand
and endsat the Pavilion.
Driving Instructions:
Fromthe QEW(East or West Bound),take QEWNiagara.
Take the
exit - NorthShore(beforethe BurlingtonSkywaybridge).Go East
(left)on NorthShoreBlvd and turnrightontoLakeshoreRoadafter Jo Brant
Hospital.The Pavilionand Pumphousewill be 1/2 km on the left handside.
14th Annual Walk for Canine Cancer
2016
e
14 marcheton pour le cancer
des chiens
All funds raised go to help fight canine cancer
Les argents vont aider a combattre le cancer
de chiens
Telephone/ Numérode téléphon
e :
Burlington, Ontario
Beachway Park, May 15, 2016
Email :
DogNameand age / Nomdu chienet Âgedu chien:
Montreal Walk Information
CENTENNIAL PARK 12 001 De Salaberry Boulevard, Lake
Street Parking Lot, Dollard-des-Ormeaux, Québec
Registration at 10am, Walk begins at 11am
(10am enregistrement, 11am promenade)
DogNameand age / Nomdu chienet Âgedu chien:
Anyhealthissues we shouldbe awareof / Est-ce qu’il auraitn'importe
quelleproblèmede santédoncnousdevonssavoirde? :
• Dogs must be on leash. (Chiens doit être sur laisse). • There will be two trails to
choose from, a 2 km loop or a 4 km loop. (Choix de 2 pistes, le 2 km boucle ou
le 4 km boucle) • Water and snacks will be available at the event. (De l'eau et des
snacks serront disponible à l'événement) • Parking available at the Park.
(Stationnement au parc)
Driving Instructions:
From the TransCanada Hwy 40, go north on Source Blvd,
turn left on Hyman Road, and then right on Lake. (De la transcanadienne route
40, allez nord sur le Blvd des Sources, prennez une gauche sur la Rue Hyman
and droite sur la rue Lake)
Montréal, Québec
Dollard-Des-Ormeaux Centennial Park
• September 25, 2016
• le 25 septembre 2016
For more information visit
Pour plus amples renseignements, visitez
www.pawsforacause.ca
Fourteenth A nnual P aws for a Cause 201 6 P L E D G E F O R M
' P aw s for a C ause' - 14 e marcheton pour le cancer des chiens – 201 6 forme d’ engagement
• Please bring all pledge money and THIS form to the event….photocopy form as needed.
S'il vous plaît amener cette forme et l’argent à l'événement … photocopier la forme comme nécessaire.
REGISTRATION AND PLEDGES CAN NOW BE DONE ONLINE – GO TO THE PAWS FOR A CAUSE WEBSITE, THEN
2015 EVENTS AND THERE IS A LINK TO THE ONLINE DONATION PAGES. EMAIL THE LINK TO YOUR CONTACTS
FOR DONATIONS. BEFORE THE WALK DAY, ENTER YOUR TOTAL ONLINE PLEDGES ON THIS SHEET.
Sponsor Name
Nom du sponsorat
1
Address
Addresse
City
Ville
Postal Code
Code Postal
Pledge Amount
Montant d’engagement
ONLINE PLEDGES
2
3
4
5
6
7
8
9
10
11
12
13
14
Total Pledges / Le total reçu: $
Received
Reçu