Name
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First Name
Last Name
DCSTV/Diontrey Claiborne Stop the Violence Walk /Run
DCSTV Walk a thon: REGISTRATION & DONOR FORM
Company/Campus Department (if applicable)
Contact No.
*
E-mail
*
example@example.com
Interested in:
*
Walking or Running
Company/Organization Table
Volunteering for the event
Donating funds or resources
Other
If Volunteering for the event, your preference:
*
Registration
Decorations
Games
Food
Guest Services
First Aid
Cleaning
Whatever needed
Others
NA
What time can you work/volunteer?
*
Any time
Setup 5am-7am
During the event 8am - 1 pm
Breakdown 1pm - 3pm
All Day
Other
NA
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Registration Fee For Runners
*
Fees: $25 for 5k participants before March 15, 2026
$30 for 5k participants from March 16-May 29, 2026
Walk 1 mile free for adults and kids
$20 for a ghost runner (pay for someone else to be able to run)
Donations
*
One time contribution
Monthly contribution
Food donation
Other
NA
Association
*
DCSTV Employee
General Community Member
Company Organization
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