Paper Registration Form

4th Annual Chick-Fil-A Jammie Jog


Race Location
Little Mulberry Park
3855 Fence Road
Dacula, Ga
Mail Form + Check To
FundRacers LLC
2217 Independence Lane
Buford, GA 30519
___________________________________
First Name		 _________________________________
Last Name
Gender:   Male     Female     Age (on 12/6/2025): ______
  First 4 Participants $119.00.
Registration:
5K $35.00  
Select what event you'd like to participate in 5K or Fun Run.
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: ___________