Paper Registration Form

ZTA Thriller 5K


Race Location
Old Central State Hosptial
620 Broad Street
Milledgeville, Ga
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
___________________________________
First Name		 _________________________________
Last Name
Gender:   Male     Female     Age (on 10/22/2021): ______
ZTA Sister who referred you: ______________________________
Type the name of the ZTA Sister who referred you to the event.
Fundracers' "Agreement and Waiver", "Privacy Policy" and "Terms of Service" can be viewed and printed by visiting http://policies.fundracers.org 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: ___________