Click on the form above to download the Moms on the Move Pledge Sheet
Please feel free to use our online form below to register for this years Moms on the Move walk. If you would prefer to print out a registration form and mail it in, please click on the Download Form link above. (*required fields)
Directions for Registration:

1. Form your Team
2. Register your Team
3. Get pledges
4. Walk on May 11 and enjoy a day of fun, prizes, and exercise!
* Team Captain:
* Team Name:
 Number of Members:
*Address:
* City:
 * State:
 * Zip:
Home Phone:
* E-mail:






Founded in 1923 as the Lycoming County Crippled Children's Society

The Children's Development Center, the sponsors, and Kiess Park are not responsible for any injuries or loss of property at the event.
Copyright © 2008 • All Rights Reserved • Site designed and Hosted by Brickhouse Advertising