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Swim a Lap, Save a Life. Swim for a Cause.
Pledge Sheet
Benefitting The Leukemia & Lymphoma Society® (LLS), supporting
Pediatric Research at the Children’s Hospital of Philadelphia.
Name: ________________________________________
Dear Potential Sponsor,
I am participating in The Leukemia & Lymphoma Society’s “Swim a Lap, Save a Life.
Swim for a Cause” event at Central Bucks South High School. I am asking that you
sponsor me for a certain dollar amount per lap (i.e. $1). You can name a maximum
amount of money that you are willing to donate. Or if you prefer, you can also make a
flat donation to support my fundraising efforts to benefit The Leukemia & Lymphoma
Society. After the event, I will contact you letting you know how many laps I swam to
collect your contribution.


Checks can be made payable to The Leukemia & Lymphoma Society.
Donations can also be made securely online at:
http://www.lls.org/pages/epa/swimforacause
Please just designate my name in the comments section of your donation so we can
include your gift in my total support through this event!
Name of
Sponsor
Telephone
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Total:
Pledge Per
Lap (i.e.,
$1.00)
Maximum
Pledge
Laps Completed
Total
Amount
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