Download the pledge sheet and waiver

Dear Parents,
It is time for our tenth annual Walk 4 Williams
Walk a Thon! The theme of this year’s Walk-a-Thon
(WAT) is Walk the Plank. We will also have our Teacher &
Principal Treasures Silent Auction. We will be combining
the Jack-O’-Lantern Jam shirt with the Walk a Thon
shirt. Students can wear this shirt to school every Friday in
Oct.
Williams Walkathon
Walk the Plank
What is Walk-a Thon?
Walk-a-thon or “WAT” is one of the major Wins
sponsored fundraisers for the year. WAT is a fun-filled
afternoon to spend with your family and show support for
Williams Elementary.
Friday, October 10th 3-6 pm
How do I register my child?
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This year $50 minimum in pledges per child is due with your pledge sheet and waiver by Wednesday, Sept. 24 at
3pm (checks should be made out to ‘Williams Wins’).
Why do we need WAT?
Without the money raised at WAT, our students will not have the enrichment programs, specialists and
materials that make our school so successful.
When is WAT?
Our WAT will be held Friday, October 10th from 3:00 – 6:00 PM.
Where is WAT held?
WAT is held on our school’s walking track located around the field.
How can I help?
We would like all Williams students to participate in the WAT. The attached Participant Packet includes the Pledge Sheet
and Waiver. Go over the rules that are online on www.williamscommunity.com, complete the attached and turn it into
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the WAT bin in the school office by September 24 at 3pm. Parents, we need your help to make this a success!
Please volunteer! Go to www.williamscommunity.com/walk-a-thon/ to sign up on ivolunteer. Volunteers get a T-Shirt!!!
What is a Jr. Walker?
A Jr. Walker is a toddler or Pre-K Child that would like to walk at the Walk-a-Thon. You may sign them up as a Walk 4
Williams Jr. Walker. A donation of $20.00 and a signed waiver will allow your toddler to Walk 4 Williams. Jr. Walkers will
receive a T-shirt and be eligible to receive lap prizes! Sorry, Jr. Walkers must be 4 or under and not registered at Williams
in Transitional Kindergarten. In order to reduce paper consumption we have posted the rules and Jr. Walker form on our
website: www.williamscommunity.com.
Please mark your calendar for October 10th and plan to attend! Talk to your friends and come as a group! We will have
walking, Food Trucks, walking, Bouncy Houses, walking, Prizes, walking, Jamba Juice, walking, Teacher & Principal
Treasures (bring your check book), walking, Music, and more walking! You are guaranteed to have a great time while
doing something wonderful for Williams! Thank you for your continued support!
Regards,
WAT Committee Chair
Williams Walk-a-Thon Walk the Plank
Oct. 10th 3-6pm
Dear Friends and Family,
\
Walk-A-Thon T-shirt
I will be walking in the 2014-2015 Walk the Plank
Walk A-Thon benefiting Williams Elementary. Please
support my school by making a pledge. Thank you!
To participant in the Walk-A-Thon & receive a T-shirt, you
must have a MINIMUM pledge of $50.00 per participant.
If you submit per lap pledges, the minimum is still
$50.00.$50.00 minimum is due on Wednesday, Sept.
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24 at 3pm to participate in the Walk-a-thon. Checks
should be made out to ‘Williams Wins’.
Please circle T-shirt Size:
Youth:
Family Name
Parent’s Email
Parent’s Phone
Child’s Name
Teacher
Child’s Name
Teacher
Child’s Name
Teacher
XS
Adult:
S
Adult:
S
S
M
L
M
L
XL
M Use Only
Wins
T-shirt Received
______________
Total Laps Walked
______________
Total Pledges
Child's Name
Sponsor Name
Phone
Sponsor Name
Phone
______________
Amount Paid
______________
Total Amount Due
______________
Wins Use Only
Flat
T-shirt
Recived
Pledge
Per Lap
Amount
Amount
Pledge
Due
Total Laps Walked
Total Pledges
Child's Name
XL
______________
Amount
Paid
Balance
______________
______________
Amount Paid
______________
Total Amount Due
______________
Flat
Pledge
Amount
Per Lap
Pledge
Amount
Due
Amount
Paid
Balance
Grand Totals
I grant permission for my child(ren) to participate in the Walk-a-Thon sponsored by the Wins Foundation. My child(ren) and I have read
and understand the rules. I am responsible for collecting all per lap pledges (minimum of $50.00 per participating child is due Sept. 24
at 3pm) and return any outstanding pledge money to Williams by October 31.
Parent or Guardian Signature __________________________________________________________
Grand Totals
Parent’s Email
Parent’s Phone
Child’s Name
Teacher
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Williams Wins Waiver 1150 Rajkovich Way, San Jose CA 95120 PARTICIPANT’S WAIVER In the consideration of the acceptance of my child(ren)’s entry in the Williams Walk the Plank Walk-‐a-‐Thon, on October 10, 2014, located at Williams Elementary School, in San Jose, California, 95120. I, the guardian of the participant(s) below, intending to be legally bound, do hereby for myself and heirs, executors, administrators and assigns, forever waive, release and discharge any and all rights, claims and actions for damages that I may have, or that may hereafter accrue to me against the Williams Wins Foundation and/or Williams Elementary School, including all units, councils and districts and all of their officers, directors, staff, members and volunteers. I attest and verify that ___________________________________________________________________,child(ren)’s name(s), is physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in an athletic event of this type. I, or an appointed guardian, will be at Williams Elementary School at all times while my child is attending the event. Parent/Guardian’s Signature Date Print Parent/Guardian’s Name Family Number Phone Cell Phone Phone Relationship Address Emergency Contact (other than listed Parent) Please have child sign: I will follow the rules. I understand I am responsible for myself and will make good decisions at the Walk-‐a-‐thon. No one will alter my shirt except for Lap Markers. If I am caught cheating I will not be eligible for prizes. Child’s Signature Child’s Signature Child’s Name Teacher’s Name Grade Child’s Name Teacher’s Name Grade Child’s Name Teacher’s Name Grade Child’s Name Teacher’s Name Grade

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