Paper Registration Form

The Searcy Scurry Virtual 5K

Race Location
Anywhere USA
Mail Form + Check To
FundRacers LLC
1886 Woodpoint Ct
Lawrenceville, GA 30043
First Name
Last Name
Gender:   Male     Female     Age (on 10/17/2020): ______
Select a color/style shirt you'd like.
Referral: ______________________________
If anyone referred you to this event, type their name here.
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: ___________