COMMUNITY SERVICE

David Maclin Memorial Scholarship Fund
Sixth Annual 5K Fun Walk / Run
and 1 Mile Walk
Saturday, April 22, 2017  
Marlboro Ridge Club House
11401 Marlboro Ridge Road
Upper Marlboro, MD 20772

8 - 8:45 a.m.   •   Sign In / Registration
9 - 11:30 a.m.   •   Fun Run or Walk

$25 / Adult On or Before Sunday, April 16
$35 / Adult After April 16 and Onsite
$5 / Child Under 12
Only $150 / Team of 1 - 10 Teammates
Only $300 / Team of 11 or More Teammates


Click HERE to Sign Up Your Entire Office as a Team!

Click HERE to Sponsor!


TEAM SIGN UP HERE!

Primary Contact Name:
Email:
Phone: () -
 
Please indicate how many people will be registering:

Adults:
Children:
Total:
Total:
Extra Donation from Walk / Run Participant: 1 @ $
  TOTAL AMOUNT DUE:

Adult Registrants:

  First Name Last Name Age on Day
of Race
Adult T-Shirt Size Gender
1. M  F
2. M  F
3. M  F
4. M  F
5. M  F
6. M  F
7. M  F
8. M  F
9. M  F
10. M  F
11. M  F
12. M  F
13. M  F
14. M  F
15. M  F
16. M  F
17. M  F
18. M  F
19. M  F
20. M  F
21. M  F
22. M  F
23. M  F
24. M  F
25. M  F
26. M  F
27. M  F
28. M  F
29. M  F
30. M  F
 
Child Registrants:

  First Name Last Name Age on Day
of Race
Adult T-Shirt Size Gender
1. M  F
2. M  F
3. M  F
4. M  F
5. M  F
6. M  F
7. M  F
8. M  F
9. M  F
10. M  F
11. M  F
12. M  F
13. M  F
14. M  F
15. M  F
16. M  F
17. M  F
18. M  F
19. M  F
20. M  F
21. M  F
22. M  F
23. M  F
24. M  F
25. M  F
26. M  F
27. M  F
28. M  F
29. M  F
30. M  F
NOTE: Please click here, read and electronically accept/sign by submitting below.