WALK IN MY SHOES
A fund-raiser for the
WYOMING COALITION FOR THE HOMELESS
PRESENTED BY
Beacon Hill Baptist Church

Saturday, June 13, 2009
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 the door prize drawing. Fill out the registration form below and mail it with your check to the address below.

WALK IN MY SHOES 2009 REGISTRATION FORM:
Make check out to:
Wyoming Coalition for the Homeless, mark “WALK”
MAIL TO:
Walk In My Shoes
c/o Wyoming Coalition for the Homeless
907 Logan Avenue
Cheyenne, WY 82001

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