When

Sunday, April 26, 2020 from 8:30 AM to 12:00 PM EDT
Add to Calendar

Where

Lloyd F. Moss Free Clinic

1301 Sam Perry Boulevard
Suite 100
Fredericksburg, VA 22401

Event Address Map
Driving Directions

Contact

Moss Clinic 5K
Lloyd F. Moss Free Clinic
540-741-3715
events@mossfreeclinic.org

10th Annual Moss Free Clinic 5k Run/Walk Fundraiser - April 26, 2020

Registration is now open! Early Bird Registration at $25 is open until February 29. Standard Registration is $35 March 1 through April 22. Late Registration is $40 April 23-24 and on race day, April 26.

* Required information

Personal Information

  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *

    Entrant's T-Shirt size:

  • Promo Code

    Apply
  • Fee

    Type Fee
    $20.00
    $30.00
    $40.00
    $10.00
    $20.00

TEAM Registration

  • Registering as part of a Team? Note: you must have a minimum of 5 entrants register for the same Team to qualify. Members of a Team may register separately or together. If separate, be sure to have each member enter the same Team Name.

Add Adults/Children Information

You may add a maximum of 40

Entrant's Release

  • By checking the box below, I agree to the following: In consideration of the foregoing, I assume full and complete responsibility for any injury or accident which may occur during my participation in this event, or while I am on the premises of the event. I hereby release any sponsors, promoters, contributors and all other entities associated with this event and their agents, or employees from any or all injury or damage, whether such injury or damage be caused by negligence. This includes but is not limited to, Lloyd F. Moss Free Clinic, the City of Fredericksburg, and Mary Washington Health Care. I also grant permission to use my/my child's likeness for publicity of this or a future event. The above, in its entirety, applies to all entrants included within this completed registration form.

  • *

    I have read this release and certify my agreement (or my parent's/guardian's if <18 years of age).

  • Registration fees are non-refundable. Please note, if paying by credit card you will see registration payable to "Fredericksburg Area Regional Health Council" on your statement.

Support the Moss Clinic!

Item Qty. Max Limit Price

DONATION (level 1)

$5 donation = 1 box of EXAM GLOVES

10 $5.00 each

DONATION (level 2)

$10 donation = 30-day supply of DIABETES TEST STRIPS

10 $10.00 each

DONATION (level 3)

$25 donation = a NURSE VISIT

10 $25.00 each

DONATION (level 4)

$50 donation = a BEHAVIORAL HEALTH VISIT

10 $50.00 each

DONATION (level 5)

$100 donation = a complete DENTAL VISIT

10 $100.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Lloyd F. Moss Free Clinic - Attn: Karen Early
    1301 Sam Perry Boulevard
    Suite 100
    Fredericksburg, VA 22401

Payment Summary


Yes, keep me informed of the great service the Clinic provides to my community.

Register