PTSO 5K Sign Up Form

5K Sign Up Form
Race Date: October 18, 2025
Location: Hammond Central School

Registration: 8:30 AM

Start Time: 9:00 AM
Participant Information
Full Name

First NameLast Name
Age
Email
example@example.com
Phone Number

Area CodePhone Number
Number of Adults Registering
Number of Students Registering
Adult T-Shirt Size/s

SMLXLXXL
Youth T-Shirt Size/s

SML
List additional sizes if needed
Emergency Contact Details
Emergency Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Payment Information
Method of Payment
Fees
prevnext( X )
Registration Fee Adult$25.00

Quantity

Registration Fee Student/Kid$15.00

Quantity

Extra Event T-Shirt$15.00

Quantity

Hammond Umbrella$15.00

Hammond Outdoor Blanket$20.00

Total $0.00
If paying with Venmo, please sent the total amount to @e_simons.
Waiver & Release
I confirm that I am in good shape, health, and condition.I don't have any medical condition or medical history that will affect my participation in this eventI acknowledge that this road race requires physical activity and there are possible risks and danger.I release the road race event organizers for any responsibility in case of an accident, illness, or injury.I confirm that all information in this registration form is accurate and true.
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5K Sign Up Form