Virtual 5K!Month of May 2022Register now for a runner’s bag! Pick up your bag any day that school is in session."*" indicates required fieldsRegistrant's Name* First Name Last Name Email* 5K Adult Registration Price: How many additional adults are you registering?*Number of Additional Adults1 Additional Adult2 Additional Adults3 Additional Adults4 Additional Adults5 Additional Adults6 Additional Adults5K Adult Registration Price: 5K Adult Registration Price: 5K Adult Registration Price: 5K Adult Registration Price: 5K Adult Registration Price: 5K Adult Registration Price: How many children are you registering?*Number of Children1 Child2 Children3 Children4 Children5 Children6 Children5K Child Registration Price: 5K Child Registration Price: 5K Child Registration Price: 5K Child Registration Price: 5K Child Registration Price: 5K Child Registration Price: Would you like to make an additional donation?* Yes NoDonation Amount* TotalYour credit card will be charged the following amount when you hit "submit" on this form. Billing Address* Street Address City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit Card*Card Details Cardholder Name Δ Mullein Hill Christian Academy25 Staples Shore Rd., Lakeville, MA 02347(774) 213-9093(774) 213-9087 (Fax)Quick Links> Admissions > Academics > Staff > Contact Us Donate
