Norwood Elementary

							                                          Norwood Elementary
                                                    &
                                        Nick’s Battle Foundation
                                       Walk With Nick Pledge Sheet
NAME                                                                   Phone

               Name or Company                                   Donation              Company Match               Total
                                                                 Amount




                                                                                             Total
Nick’s Battle Foundation, Inc Federal ID#20-5745758 a 501(c)3
Please Remember:                                                                          Mail pledges to:
 Make checks payable to: Nick’s Battle Foundation.                                        Nick’s Battle Foundation
 Pledges are due April 26, 2008.                                                          1528 Vesper Ave
 Be sure to write your name in the memo section of each check.                            Dundalk, MD 21222
 A matching gift by a company can double your pledge.                                     www.nicksbattle.org
Release:
I understand to participate in the Walk for Nick that I will not hold Norwood Elementary, Nick’s Battle Foundation, and other
sponsoring organizations harmless for anything that might happen during the event. Parental Release:
I give my child permission to participate in the Walk for Nick and hold Norwood Elementary, Nick’s Battle Foundation, and other
sponsoring organizations harmless for anything that might happen during the event.
        Parent's Name
        Parent's Signature
        Child's Name