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): ______
T-Shirt:
LG (SOLD OUT)  
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 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: ___________