Hike for the Homeless Family Registration

Parent / Guardian Name(Required)

Parent / Guardian Phone

Parent / Guardian Email(Required)

Hike Participation(Required)

Parent / Guardian Shirt Size (1) - $0 (included in registration)(Required)

Family Member Name (2)

Age (2)

Shirt Size (2) - $10

Backpack (2) - $10

Family Member Name (3)

Age (3)

Shirt Size (3) - $10

Backpack (3) - $10

Family Member Name (4)

Age (4)

Shirt Size (4) - $10

Backpack (4) - $10

Family Member Name (5)

Age (5)

Shirt Size (5) - $10

Backpack (5) - $10

Total Registration Cost:

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Hike for the Homeless Family Registration

Union Rescue Mission of Western Maryland

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