Hustle for Russell

Walk-a-thon Collection Sheet

Money due Tuesday 9/16/14

Student Name______Grade______

RETURN BY: Tuesday, September 16th to your Access hour teacher by 3:45 P.M.

Make checks payable to: P.V.M.S. (In blue /black ink only)

Sponsor’s Name / Total Donation

Total Donation Collected:______

Please mark your size: (only if you raised $30.00 or more)

Adult S______Adult M______Adult L_____ Adult XL_____

For donations of $50.00 or more, please include the information for each sponsor below:

Student’s Name: / Student’s Name: / Student’s Name:
Sponsor’s Name (Business): / Sponsor’s Name(Business): / Sponsor’s Name(Business):
Contact Person: / Contact Person: / Contact Person:
Sponsor’s Address: / Sponsor’s Address: / Sponsor’s Address:
Sponsor’s Phone#: / Sponsor’s Phone#: / Sponsor’s Phone#:
Student’s Name: / Student’s Name: / Student’s Name:
Sponsor’s Name(Business): / Sponsor’s Name(Business): / Sponsor’s Name(Business):
Contact Person: / Contact Person: / Contact Person:
Sponsor’s Address: / Sponsor’s Address: / Sponsor’s Address:
Sponsor’s Phone#: / Sponsor’s Phone#: / Sponsor’s Phone#:

The purpose for the Hustle for Russell Walk-a-thon is to promote living a healthy lifestyle. Unfortunately, twelve years ago, we lost a very special teacher because of a heart attack and we want to encourage our students to exercise regularly so that they have a “healthy heart.” We also want to take this opportunity to remember Mr. Rusty Weiler for his years of dedication to PV.

This is the 12th Annual Walk-a-thon and the proceeds go toward PBS activities and improvements to our school. Some of the improvements that have already been made include:

*Marquee sign behind the gym

*New bleachers for the football field

*Outdoor classroom

*Tables for outdoor classroom

*Landscaped the parent loop

*Covering over Outdoor Classroom

*New outdoor basketball court

*New sound system in gymnasium

*Chairs for classrooms

*Dirt for the track

There is also a $1000 yearly scholarship for a graduating PCHS student.

Remember….

Donations are tax deductible!!!!

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If a student raises:

*$10.00-Student is able to participate in Walk-a-thon and 10 tickets on

October 2nd. Carnival is after school from 3:45-5:30 P.M.

*$30.00-Student will receive a H.F.R shirt. Student is able to wear his/her 2014 Hustle for Russell t-shirt and appropriate pants/shorts to school on the day of the walk-a-thon,*** NO UNIFORM!!! Student also receives 10 tickets for the carnival.

*$50.00-student will have his/her name (parent’s business name) on the back of this year’s shirt. Student is able to wear his/her 2014 Hustle for Russell t-shirt and appropriate pants/shorts to school on the day of the walk-a-thon,*** NO UNIFORM!!! Student also receives 25 tickets for the carnival.

*IN ORDER TO WEAR YOUR WALK-A-THON T-SHIRT TO SCHOOL ON 10/2/14, YOUR DONATION OF $30 OR MORE MUST BE TURNED IN BY Tuesday, 9/16/14 @ 3:45 P.M.

*IN ORDER TO INCLUDE A SPONSOR’S NAME ON THE T-SHIRT, YOUR DONATION OF $50 OR MORE MUST BE TURNED IN BY Tuesday, 9/16/14 @ 3:45 P.M.

NO EXCEPTIONS!!!