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*

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Date
Gender
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

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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
I confirm that I am in good shape, health, and condition.I don't have any medical condition or medical history that will affect my participation in this eventI acknowledge that this road race requires physical activity and there are possible risks and danger.I release the road race event organizers for any responsibility in case of an accident, illness, or injury.I confirm that all information in this registration form is accurate and true.
Participant's Signature*

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Date Signed*

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Parent/Guardian Signature (If participant is below 18 years old)

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My Products
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Almost 5k ($25 day of registration)$20.00

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

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

Participant Information

Emergency Contact Details

Payment Information

Waiver & Release