Orilio 5K
 Donations may be mailed to Cleveland High School or paid at the event. Checks are payable to Cleveland High School (include "Orilio 5K" in the memo line).

Our goal is to raise $10,000 for the Orilio family.  We can accomplish this goal with five hundred $20 donations.  Your gift will make a difference!  Please join us in supporting Gwen and her family.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Phone Number *
Email Address
Donation *
Select one. Donations may be mailed to Cleveland High School or paid at the event. Checks are payable to Cleveland High School (include "Orilio 5K" in the memo line).
Required
If "Other donation amount" was selected, please specify donation amount
T-Shirt Size
Shirts are $10. You can pre-order with your registration or purchase at the event.
Thank You! Your contribution makes a difference. Stay Positive and Keep Running.
Event Reminders:
Saturday, Feb. 21st at Cleveland High School
5K begins at 10am
Kids 100m (ages 0-6) at 11:30am
Youth 1600m (ages 7-12) at 12 pm
Concessions and T-shirts for sale
Barbecue lunch plates are available for $8

Checks payable to Cleveland High School memo "Orilio 5K"
Donations accepted at the event or may be mailed to:
Cleveland High School
1892 Polenta Rd
Clayton, NC 27520

Please contact us with any questions/concerns:
orilio5k@gmail.com
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Johnston County Public Schools.

Does this form look suspicious? Report

Google Forms