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:______________________________________________

 

PLEDGERS NAME

ADDRESS/PHONE

PLEDGE AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS THIS SHEET:

 

 

** 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)