5K Registration Forms Waiver Registration Sponsorship Information Online Registration Name* First Last Age (on October 12, 2019)Number*Gender*Male/FemaleMaleFemaleAddress* Street Address Address Line 2 City State/ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Product Name5K Run Registration Options*Registration TypeI will be participating individually in the 5k run (t-shirt included)I will be participating individually in the 5K run (t-shirt not included)Family participation (for families of 3 or more, 1 t-shirt included)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdditional AdultAge of Additional AdultGender of Additional Adult in FamilyGender of Additional Adult in FamilyMaleFemaleChildren's NamesChildren's AgesGroup Registration I am part of a school or group team registration Group Team or SchoolMore shirts I'd like to order additional t-shirts Additional or Non-Registering 5K T-Shirt OrdersYouth SmallYouth Small Price: $12.00 Quantity: Youth MediumYouth Medium Price: $12.00 Quantity: Youth LargeYouth Large Price: $12.00 Quantity: Youth XLYouth XL Price: $12.00 Quantity: Adult SmallAdult Small Price: $12.00 Quantity: Adult MediumAdult Medium Price: $12.00 Quantity: Adult LargeAdult Large Price: $12.00 Quantity: Adult XLAdult XL Price: $12.00 Quantity: Adult XXLAdult XXL Price: $12.00 Quantity: Waiver* I have read and agree to the waiver. Please read this form carefully and be aware that in signing up and participating in the Christ’s Legacy Academy 5K, you will be expressly assuming the risk and liability and waiving and releasing all claims for injuries, damages or loss, which you or your minor child/ward might sustain as a result of participating in any and all activities associated with this program/activity/event. I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity/event, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I or my minor child/ward may have (or accrue to me or my minor child/ward) as a result of participating in this program/activity/event against Christ’s Legacy Academy, agents, servants, and employees (hereinafter collectively referred to as “CLA”) or the City of Athens while utilizing any part of their property for their event. I do hereby fully release and forever discharge CLA and the City of Athens from any and all claims for injuries, damages or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with or in any way associated with this program/activity/event. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. For online registrations, my online facsimile signature (the checkbox on the registration page) shall substitute for and have the same legal effect as an original form signature.Total $0.00 NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.