The Candle: Individual Pledge Form

This program is best suited for an individual wanting to help raise funds for our charity programs. If you reach over $100 in pledges, we will send you a free registration for the Fort Town Night Run event with the course of your choice with all benefits included (e.g., SWAG). For children wanting to run the Kids 1K Fun Run, the goal is $50 in pledges. Please complete the following procedure to receive an authorized Individual Pledge Form.


1. Please complete the following online form. This will provide us the necessary information needed to complete the form.

Request for an Individual Pledge Form

2. After completing and submitting this form, you will receive within 48 hours a PDF of a personalized Individual Pledge Form with an authorization code.

3. After completing the pledge form and gathering your funds, you are encouraged to return the completed form and funds:

By mail
, using a secure method of shipping, to:
Michel Larose
Race Director
Fort Town Night Run
P.O. Box 314
Prescott, ON
K0E 1T0

By contacting
the Race Director at (613) 340-7364 to discuss the possibility of a pick-up.

You are required to send back all authorized pledge forms by March 1, 2019. In doing so, we assure that all forms were used effectively as agreed upon. Any misuse or fraudulent use of the form to gather funds for personal use will be reported to the authorities.

4. When the form and funds are secured by the charity, you will receive an individualized promotional code. You will be asked to complete the Eventbrite registration forms, which can be accessed at the following website: This will guarantee that we have all required information for registration.

5. When completing the registration process, remember that the promotional code is entered at the following page, when selecting your race:

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