#WalkYourWay Sign Up

A virtual opportunity for the community to raise funds to support women, youth, children and pets who are victims of domestic violence and abuse.

***Please fill out a separate form for each adult walker.***

Every adult walker (age 18 and over) signed up by June 4, 2021, with a minimum donation of $25 or more is eligible for a Walk Promotion Kit and will have your name put in for Draw prizes.

Adult Walker’s Name*
First Last
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Business Name

(if applicable)
Team Name

(if applicable)
I will have # of pets walking with me:
There will be # youth/children walking with me:
I am making a donation payment for myself in the amount of:
AMOUNT ($)
I am making a payment for people who have sponsored me to walk:
COMBINED AMOUNT ($)
Total donation payment of ($):

(Amount + Combined Amount above)
My payment/donation will be made through
- CanadaHelps.org (please donate directly through their website)
- Mailed cheque made out to: Bethesda House, Box 82, Bowmanville, Ontario L1C 3K8
- E-transfer (email at Bethesdahouse1@rogers.com & include your registration name)
**Please do not include donations being made directly to Canada Helps on the list below. They will receive receipts via Canada Helps.**
My walk sponsors who would like charitable receipts are: (Click + to add more spaces)
NAME MAILING ADDRESS (required to receive a receipt) AMOUNT DONATED ($)

Charitable receipts can be issued for donations of $25 or more. **Please do not include donations being made directly to Canada Helps. They will receive receipts via Canada Helps.**
NOTE: If walking as a team and you want to be eligible for the most donations raised by a team prize, make sure everyone submits their donations separately and includes the team name!

NAME	MAILING ADDRESS (required to receive a receipt)	AMOUNT DONATED ($)