Sponsors should make donation and give you their contribution immediately

SPONSORS

Name                            Address                                    City            State        Zip            Amount Given

1.______________________________________________________________________________

2.______________________________________________________________________________

3.______________________________________________________________________________

4.______________________________________________________________________________

5.______________________________________________________________________________

6.______________________________________________________________________________

7.______________________________________________________________________________

8.______________________________________________________________________________

9.______________________________________________________________________________

10._____________________________________________________________________________

11._____________________________________________________________________________

_______________________________          _____________________

Participant's Signature                                        Date

Make checks payable to Kidney Foundation

In consideration of the furtherance of your purpose, objective and work, and in consideration of you permitting me to participate in "The Sports Barn Turkey Trot, " on behalf of myself, my heirs, executors, administrators and assigns, I hereby waive and release any and all rights and claims for damages which I may have against you, the municipalities through which "The Sports Barn Turkey Trot" will take place, as well as any other person connected with "The Sports Barn Turkey Trot" or as a result thereof.