Living Waters Theological University 

Presents

“Steppin It Up For Education”

Walk-A-Thon

Registration Form

Please fill out all information correctly and legibly. Use a Black or Blue pen only.     

Fax registration for to 909-421-9969

Attention Vanessa Edwards. All checks should be made payable to

Living Waters Theological University (LWTU). All contributions are tax deductible.

Date ____________________

Name ______________________ Address _______________________

Phone # __________________ Cell phone _______________

E-mail address __________________________

Name of Sponsors and amount being sponsored:

1. Name ________________________ Amt. sponsored $ _________

Address _________________________ Phone #_______________

2. Name _________________________ Amt. sponsored $ _________

Address __________________________ Phone # ________________

3. Name _________________________ Amt. sponsored $ _________

Address _________________________ Phone # _________________

4. Name _________________________ Amt. sponsored $ _______

Address _________________________ Phone # _________________

5. Name _________________________ Amt. sponsored $ ________

Address _________________________ Phone # _________________

6. Name __________________________ Amt. sponsored $ _________

Address __________________________ Phone # ________________

7. Name __________________________ Amt. sponsored $ ________

Address __________________________  Phone # ________________

8. Name __________________________ Amt. sponsored $ ________

Address __________________________ Phone # ________________

9. Name __________________________ Amt. sponsored $ ________

Address __________________________ Phone # _________________

10. Name _________________________ Amt. sponsored $ ________

Address __________________________ Phone # _________________

Beloved, I wish above all things thou mayest prosper and be in health, even as thy soul prospereth...3 John 1:2