4167 Rappahannock Avenue, San Diego, California 92117 manager@ccsasandiego.org 858-274-2273

Hunger Walk Registration

I understand the risks involved in participating in the Community Christian Service Agency (CCSA) Hunger Walk and willingly and voluntarily accept these risks. I attest that I am physically fit and prepared for this event. Participants under the age of 18 will need a parent or guardian sign a consent form.

I grant permission for the organization to use photographs/images and quotations from me in accounts and promotions of this event.

Sending