Dylan’s 5K Dash

Donation Form
Instructions to make a donation:
1. Enclose in a sealed envelope this completely filled out form and either cash or
a check made out to “St. Lawrence Parish” with “Dylan’s 5K Dash” in the
memo line.
2. Write your name on the front of the envelope and bring it with to you the day
of the run OR send the envelope to
Jeff Dillolo
St. Lawrence Parish
375 Main St.
Chester, NJ 07930

Participant/Sponsor Name:

Check all that are enclosed:

Required participant fee $10 T-shirt fee $10

Donor Amount

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Total = _______________