CCA 5K Racer Sign Up Form

Race Information

Date: Saturday January 11, 2025
Location: Highlands Hammock State Park -- 5931 Hammock Rd, Sebring FL 33872
Email: 5k@ccaap.org
Phone: 863-453-0894

Schedule

8:15 AM Race Day Registration & Packet Pick-Up
9:00 AM 5K Start Time

Waiver

By sumbitting this form, I acknowledge that my participation in the 5K Race involves inherent risks, and I agree that Cornerstone Christian Academy, HiCo Race Timing, and Highlands Hammock State Park, along with their respective officers, officials, sponsors, and agents, shall not be held responsible for any injuries or damages that may occur during my participation in this event. I accept full responsibility for my involvement and understand that I do so at my own risk.

Racer Full Name*

First NameLast Name

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Please enter a valid phone number.

Email*

example@example.com

What is your T-Shirt Size?*

What is your age?*

What is your gender?*

MaleFemale

My Products

Race Entry Fee

$30.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.