
TAKE A DIP FOR DOZER
FEBRUARY 11, 2012 – Registration at 11:00 – 1:00 p.m. - LAKE RIPLEY PARK
BENEFITING THE DOZER “52” SCHOLARSHIP FUND
Plungers Name:___________________________________________ Shirt Size: S M L XL 2XL 3XL
Are you plunging with a team? Yes __ No__ If so, team name:______________________________________________
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PLEDGERS NAME |
ADDRESS/PHONE |
PLEDGE AMOUNT |
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TOTALS THIS SHEET: |
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** Make check payable to Cambridge Athletic Booster Club
** A minimum total of $52.00 in pledges is required to plunge for individual dippers
** A minimum total of $352.00 in pledges is required to plunge for a 4 member team (pledges for team event
need to be turned in collectively by team captain)