Fast-a-Thon 2009 Pledge Form

Local businesses will donate $1 for each person who pledges to fast.
All proceeds benefit the BRAZOS VALLEY FOOD BANK. Join us at the end of the day
as we break our fast with a delicious meal (Rudder 601).

I ____________________, pledge to go hungry for a day so someone else doesn’t have to by abstaining from food & drink from 5:41 am to 5:30 pm on Tuesday, November 12th. I will also try my best to refrain from negative speech/thoughts. I have no medical conditions that would prohibit me from fasting, but in the unlikely event that I should become ill, I will not hold MSA, its members, or Texas A&M University responsible.

* Required