Paper Registration Form

Wiseman 5K and Fun Run


Race Location
Bethlehem United Methodist Church
709 Christmas Ave
Bethlehem, Ga
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
___________________________________
First Name		 _________________________________
Last Name
Gender:   Male     Female     Age (on 1/10/2026): ______
  First 4 Participants $92.00.
Registration:
Early Bird 5K $30.00  
Fun Run $18.00  
Choose one.
T-shirt:
Youth SM  
Youth MED  
Youth LG  
SM  
MED  
LG  
XL  
2XL add $2.00  
Select what size shirt you'd like.
Shoe Donation:
Yes, I'll bring a pair of shoes to donate  
Not at this time  
Would you be willing to donate a pair of running shoes to Soles for Souls?.
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: ___________