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Paper Registration Form | |
ZTA Thriller 5K 2026 | |
| 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 10/16/2026): ______ |
| Registration: | 5K T-shirt included $40.00 5K No T-shirt $25.00 T-shirt Only (no 5K) $25.00 Zombie (MUST BE A ZTA) $8.00 |
| Select which option you'd like 1) Just 5K or 2) 5K with T-shirt or 3) just the T-shirt. | |
| T-Shirt Size: | No Shirt option Youth SM - Pink Youth MED - PINK Youth LG - PINK SM-PINK MED-PINK LG-PINK XL-PINK 2XL-PINK add $2.00 Youth SM - WHITE Youth MED- WHITE Youth LG - WHiTE SM - WHITE MED - WHITE LG- WHITE XL - WHITE 2XL - WHITE add $2.00 |
| Select what SIZE and COLOR shirt you'd like or if you selected the No Shirt option pick "No Shirt" . | |
| ZTA Sister who referred you: | ______________________________ |
| Type the name of the ZTA Sister who referred you to the event. | |
| Additional Donation: | ZTA Foundation Donation ($5) $5.00 ZTA Foundation Donation ($10) $10.00 ZTA Foundation Donation ($15) $15.00 ZTA Foundation Donation ($25) $25.00 |
| Would you like to make an additional donation to the Zeta Foundation supporting Breast Cancer education and awareness?. | |
| 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...
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Signature: __________________________________________ Date: ___________ | |