It’s time for Hornet Hustle Walk-a-thonat Pemberton Township Middle School

Monday, November 10

Name:Number of Laps around the track completed:

Dear Potential Sponsor,

I am participating in Hornet Hustle Walk-a-thon . All proceeds will help fund our PBSIS End of year Extravaganza.. You can sponsor me for an amount per lap around the track I walk or you can name a flat donation that you are willing to contribute. After the walk-a-thon, I will return to tell you how many Laps I walked and collect your contribution. Any amount you can contribute will be helpful. Make checks payable to HFMS. All contributions are tax-deductible.

I plan to walk at least __________ laps around the track Hornet Hustle Walk-a-thon.

Thank you!

Name of Sponsor

$ Amount per lap (Example: $.50 or$1.00)

Flat Donation $ Amount

Laps completed (Example 2 miles=20 .10ths)

$ Amount Collected from Sponsor

1 Ex. Joe Walker $1.00 10 $102 Ex. Mary Husselinsky $5.00 $5.003 Ex. Max A. Mum $.50 10 $5.00456789

101112131415161718

Participants:To reach our goal, we hope that each participant finds 10 sponsors .

Please bring this form to your classroom on the walk-a-thon day, Monday, November 10.