MBMS - (Almost) 5K and Trick n Treat Fun Run for Kids

Track or Treat! (Almost 5K( and Kids 1/2 Mile Candy Run
Race Date: October 28th, 2023
Location: 29675 Point Lookout Rd, Mechanicsville, MD 20659
Check-In Time: 8:30 - 9:00 AM
(Almost) 5K Race: 9:15 AM
Track or Treat 1/2 Mile Candy Run: 10:00 AM
Participant Information
Full Name

First NameLast Name
Age
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Payment Information
Method of Payment
Please send in cash/check with your student or bring on race day.
Waiver & Release
Participant's Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Signature (If participant is below 18 years old)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
My Products
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Almost 5k ($25 day of registration)$20.00

Quantity

Track or Treat Kids 1/2 Mile (13 and under)$10.00

Quantity

Total $0.00
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Track or Treat! (Almost 5K( and Kids 1/2 Mile Candy Run