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Therapeutic: Music Rhythm, Blues and Beyond
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(Photos) Hayride & Bonfire 2022
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(Photos) Holiday Party 2020
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(Photos) Winter Lights Festival 2018
(Photos) Cookies & Carols
(Photos) Wine Tasting 2018
(Photos) WORK: Dawson's
(Photos) WORK:Bota
(Photos) Neuro-Diversity
(Photos) Weekend Enrichment / Respite
(Photos) Therapeutic Art & Music
(P) Walking Workout Club
(Photos) Theatre & Dinner
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(Photos) Social Outings Large
(Photos) Dance, Dance, Dances
(Photos) Guys Night Out
(Photos) Girls on the Town
April 29, 4:00pm-7:00pm
Bohrer Park Gaithersburg
Participant $40
Participant Name
*
First
Last
If a parent or caregiver filling out this form for a young adult, please put participant name here.
PARTICIPANT Emergency Contact Name
*
Not required for those unable to take part in the event.
PARTICIPANT Emergency Contact Number
*
For those participating in the event only
PARTICIPANT T-SHIRT SIZE
*
Medium
Large
XLarge
XXLarge
XXXLarge
Please enter your T-shirt size if you are taking part in the event.
Waiver & liability by registering for these UCR programs I am admitting I am fully aware of the risks and hazards connected to physical activity. I hereby release, waive, discharge and covenant not to sue Upcounty Community Resources, Inc, their officers, employees, volunteers or assistants from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any injury that may be sustained by me or my charge while taking part in the UCR 5K.
*
I agree.
An affirmative answer is required before moving on to the next page.
I agree to receiving marketing and promotional materials
Submit & Continue
Home
Our Board
Our Team
In the Community
>
Black History Month Overcoming Disability
UCR All-Occasion Note Cards
Voting Rights Resources
Member & Contact Information
UCR News
Director's Blog
>
Questions for Director?
Volunteer Opportunities
CALENDAR
Empowerment Programs
VisArts with UCR Wednesday Nights
Large Social Events
>
Rock Out Work Out Holiday Edition
UCR Hoedown 2023
Hayride & Bonfire Butler's Orchard
Social Connections Workshops
Small Social Literacy: "Let's Read" Book Club
Small Social: Mens' Night Out
Small Social: Coffee Club
WORKS: Retail Michael's
WORKS: Farming Internship Hines
WORKS: Intensive 1:1
WORKS: Neuro-Diversity Rock Band
WE: Asheir Home (3 hours) Blended needs
WE: Mega Respite (6 hours) Blended Needs
Therapeutic: Finding the Artist Within
Therapeutic: Music & Movement
Therapeutic: Music Rhythm, Blues and Beyond
Donors & Partners
Activity Photos
(Photos) Hayride & Bonfire 2022
(Photos) UCR 5K 2023
>
(Photos) UCR 5K 2022
(Photos) UCR 5K Walk & Roll-a-thon
(Photos) UCR 5K 2021
(Photos) Inaugural Fun & Games Night 2020
(Photos) UCR 5K 2019
(Photos) Holiday Party 2020
>
(Photos) Winter Lights Festival 2018
(Photos) Cookies & Carols
(Photos) Wine Tasting 2018
(Photos) WORK: Dawson's
(Photos) WORK:Bota
(Photos) Neuro-Diversity
(Photos) Weekend Enrichment / Respite
(Photos) Therapeutic Art & Music
(P) Walking Workout Club
(Photos) Theatre & Dinner
>
(Photos) Social Outings Large
(Photos) Dance, Dance, Dances
(Photos) Guys Night Out
(Photos) Girls on the Town