Paper Registration Form

Run, Run Rudolph 5K and Fun Run

Race Location
Little Mulberry Park
3855 Fence Road
Dacula, Ga
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
First Name
Last Name
Gender:   Male     Female     Age (on 12/24/2022): ______
  First 4 Participants $99.00.
5K $32.00  
Fun Run $18.00  
Virtual Run (packet won't be mailed, must pick up on Dec 23rd) $22.00  
Select what event you'd like to participate in 5K or Fun Run.
Youth SM  
Youth MED  
Youth LG  
2XL add $2.00  
No shirt option (I don't want one or I waited too late and you don't have my size available anymore)  
Select what size long sleeve shirt you'd like.
Fundracers' "Agreement and Waiver", "Privacy Policy" and "Terms of Service" can be viewed and printed by visiting online.

By signing below, I acknowledge that I have...
  • Reviewed and agree to FundRacers' "Agreement and Waiver"
  • Reviewed and understand FundRacers' "Privacy Policy"
  • Reviewed and agree to FundRacers' "Terms of Service"

Signature: __________________________________________  Date: ___________