Paper Registration Form

2nd Annual FireBolt 5K


Race Location
Tribble Mill Park
2125 Tribble Mill Parkway
Lawrenceville, Ga
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
___________________________________
First Name		 _________________________________
Last Name
Gender:   Male     Female     Age (on 8/22/2026): ______
  First 4 Participants $95.00.
Registration:
Early Bird 5K $27.00  
Fun Run $18.00  
Choose one.
T-shirt:
Youth SM  
Youth MED  
Youth LG  
SM  
MED  
LG  
XL  
2XL add $2.00  
No Shirt (I waited too late and you don't have my size)   
Select what size shirt you'd like. Registrations after 8/18 are not guaranteed a shirt but on availability basis.
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: ___________