Paper Registration Form

8th Annual Breakfast Club 5K


Race Location
North Gwinnett Church
4973 West Price Road
Suwanee, Georgia
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
___________________________________
First Name		 _________________________________
Last Name
Gender:   Male     Female     Age (on 9/16/2023): ______
  First 4 Participants $94.00.
Referral: ______________________________
Did anyone refer you? If so, type their name here.
Registration:
Virtual Entry (T-shirt only) $25.00  
Select what you would like to register for.
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: ___________