Chippewa Lake Lion Club – 2016 Polar Bear Jump & 5k Race/Walk
January 30, 2016
Sponsor Sign Up Sheet
Benefiting: Society for Handicapped Citizens (SHC)–Medina, OH, CrossPointe Community Church Meal Program
Lafayette Township Fire Department and Chippewa Lake Lions Club
Please complete the Sponsor Information Below and turn in your completed Sponsor Sheet with your Donations at Registration.
hecks Payable to Chippewa Lake Lions Club or go to
to make donations.
C
:____________________________
Participant
email: _______________________________
SPONSOR NAME
ADDRESS
E-MAIL
$ PLEDGED
Total $______________