MILES FOR MARGO Registration Form

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SATURDAY, OCTOBER 21, 2023 @ 10:00 a.m.

Miles For Margo is a fundraising walk, in honor of Margo Murillo, a long time Norwalk resident, teacher, and daily 7 mile walker who passed away recently. She also had a passion for working with the ELL (English Language Learner) group at her church. The funds from this walk will go to the Margo Murillo English Language Learners' Scholarship program. The walk will be held at the Elizabeth Holland Park Loop located at 1401 Colonial Parkway, Norwalk, IA (east of Hwy 28 on the south side of Beardsley St). We look forward to seeing you! Deadline for registration is October 7, 2023.

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Last Name

First Name

Street Address

City

State

Zip Code

Phone Number (xxx) xxx-xxxx

Emergency Contact (First Name/Last Name/Phone)

Registration Fee $35 (includes T-shirt)

Deadline is October 7, 2023

CHECK (Payable Norwalk Christian Church - ELL Scholarship) 701 Main St, Norwalk, IA 50211

VENMO In the search bar, type Norwalk Christian Church then select BUSINESSES Tab (@ Norwalk CC) for ELL Scholarship Memorial

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Donations are Welcome

CHECK (Payable to Norwalk Christian Church, ELL Scholarship) 701 Main St. Norwalk, IA 50211

VENMO In the search bar, type Norwalk Christian Church then select BUSINESSES Tab (@ Norwalk CC) for ELL Scholarship Memorial

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5K or Virtual 5K Walk

5K In Person (or whatever distance you'd like to walk)

Virtual 5K (any time before October 21, 2023)

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T-shirt Size for all ages:

NOTE: Pick up is Friday, October 20, 2023 from 4:00-7:00 p.m. @ Norwalk Christian Church, 701 Main St, Norwalk, IA. May also pick up at event site on Saturday, October 21.

YOUTH S

YOUTH M

YOUTH L

ADULT S

ADULT M

ADULT L

ADULT XL

ADULT XXL

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A copy of your responses will be emailed to the address you provided.

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