First Coast Y

Tickets
Guests
Confirmation

YMCA of Florida's First Coast Logo

Registration includes a long-sleeve race shirt, entry into the Ugliest Sweater Contest and game area, and a photo with Santa!

PLEASE ENTER AGE FOR EACH RUNNER!

Individual: ($30)

$30

Dec. 1 - Race Day

Family: ($60)

$60

2 adults + 4 children Dec. 1 - Race Day

Number of Adults:

Number of Children

Additional Family Member

each additional member

Contact information

Runner First Name

Runner Last Name

Runner 1 Shirt Size

Age

Mobile Number

Address

City

State

Zip

Family Information

Runner 2 Name

Runner 2 Shirt Size

Runner 2 Age

Runner 3 Name

Runner 3 Shirt Size

Runner 3 Age

Runner 4 Name

Runner 4 Shirt Size

Runner 4 Age

Runner 5 Name

Runner 5 Shirt Size

Runner 5 Age

Runner 6 Name

Runner 6 Shirt Size

Runner 6 Age

Education Sponsor

$10,000

Provides 2 Student College Scholarships 11 College Career Coaching Sessions 12 College Readiness Workshops

Gold Sponsor

$5,000

Provides 1 Student College Scholarship 6 College Career Coaching Sessions 6 College Readiness Workshops

Silver Sponsor

$2,500

17 College Career Coaching Session 19 College Readiness Workshops

Bronze Sponsor

$1,000

Provides 15 College Readiness Workshops

Event Sponsor

$500

Provides Awards for Graduating Seniors

I'd like to add a donation of:

Waiver

I have read and agreed to the terms and conditions.

How would you like to pay?

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV

I would like to cover the payment processing fee.

Donor hereby approves the payment of the charitable donation and/or purchase to YMCA of Florida's First Coast and in the amount set forth herein.

Proceeds benefit Clay County Take Stock in Children Program. Thank you for your participation!

Contact information

Family Information

I'd like to add a donation of:

Waiver

How would you like to pay?

Total Amount