WALK IN MY SHOES

A fund-raiser for the

WYOMING COALITION FOR THE HOMELESS

Saturday, June 4, 2005

Walk begins at the WCH building

907 Logan Avenue

Check in time 8:00 a.m. Walk begins at 9:00 a.m.

PRIOR TO WALK DAY REGISTRATION - $12.00

REGISTRATION ON DAY OF WALK - $15.00

FOR QUESTIONS: BETTY ANN, 632-6248 OR VIRGINIA, 634-8499

GHOST WALKERS WELCOME

Ghost Walkers are those who have a conflict on that day, and can’t walk, but want to help Ghost Walkers are eligible for a T-shirt and door prize drawing. Fill out the registration form below and mail it with your check to the address below.

WALK IN MY SHOES 2005 REGISTRATION FORM:

Make check out to:

Beacon Hill Baptist Church, mark “WALK”

MAIL TO:

Walk In My Shoes

c/o Beacon Hill Baptist Church

110 Central Avenue

Cheyenne, WY 82007

Name: ____________________________________________________________________

Address: __________________________________________________________________

Telephone: ________________________________________________________________

Walker: _________ Ghost Walker ___________

Waiver: I hereby waive all claims against Beacon Hill Baptist Church, the City of Cheyenne, the Cheyenne Parks and Recreation Department, SHY-WY Amateur Radio Club, the Wyoming Coalition for the Homeless, their board members, volunteers, event sponsors and other personnel involved in the event for any injury I might suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photographs of me and quotations of and from me in legitimate accounts and promotion of this event.

Signature _____________________________________________________________________

participant or parent/guardian