Application for the Mad Max Memorial Toy Run

Mad Max Memorial Toy Run Application


Date of birth:

Contact Info







Phone: HomeWorkMobile

Employment Info




per WeekMonth

Employer's Phone:

How did you hear about the Mad Max Memorial Toy Run


Have you participated in previous Toy Run events? YesNo

If so, what years?

201420152016

Children's Info

BoyGirl









BoyGirl









BoyGirl









BoyGirl









BoyGirl









To the best of my knowledge I have answered honestly and completely all of the questions above. I authorize the sanctioned personnel of the Mad Max Memorial Toy Run to follow up, if necessary, to verify any information I have listed in the application to confirm said information is true.

YesNo


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