Event: Forsyth Century Challenge
If you would like to mail in your registration, print this form out, fill it out and mail it to our office.
Last Name:_______________________First Name:________________________M__F__Age:____
Mailing Address:____________________________City:_____________________State:____Zip:_______
Phone:(___)____________________Email Address:__________________________________________
Short Sleeve T-Shirt: (Please Check One) __SM__MED__LG__XL__XXL
Amount Enclosed:_______________
Emergency Contact:___________________________Phone:____________________________________
Mail to:
Destination Training
2140 R0bin Hood trail, Cumming Ga. 30028
Make checks payable to Destination Training
WAIVER: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against officials, sponsors,
hosts, or any person associated with Destination Training . I understand running is a strenuous activity and I am proper physical condition to participate in said event. I also give permission for use of my name and photograph to be used in any media or other account of this event.
Please place a check in the box to signify that you have read and consent to the above Waiver and type your name in the space provided: [ ]
Signature of Entrant:________________________________________Date: / / ___
Signature of Parent of Minor:___________________________________
Online Registration has Ended.