Jolly Jingle Jog Registration Online Registration for the 2015 Jolly Jingle Jog. 3 Easy Ways to Register and Pay: 1.) BSSL.org for registration form and PayPal. 2) Active.com-search for Jingle Jug Run-Canton, GA (fees apply) 3.) Print the attached form and drop off with payment at the BridgeMill Fitness Center. Please make check payable to BSSL. All proceeds benefit Cherokee County charities and families in need through The BridgeMill Sixes Service League. Name First Last Phone #Emergency Contact First Last Emergency Contact Phone #Email Address Age Division5K Challenge Price: $25.00 Quantity: Individual 5K Participant: One 5K Participant (earns participant t-shirt)Adult T-shirt Size---SMLXLWAIVER: MUST BE SIGNED TO PARTICIPATE.* By checking this box, I agree to the above Waiver. For online registrants, typing your name on the signature line below will have the same effect as a written signature. Please check this box to indicate that you understand this, and type your name on the signature line. I understand that running/walking a race is potentially hazardous and I state that I am in proper physical condition for this event. In consideration of the acceptance of this entry, I hereby release the sponsors, officials, volunteers, and anyone connected with The Bridge Mill Athletic Club, The BridgeMill Sixes Service League, and the Victory Run 5k Challenge and Family Fun Run from all claims of injury or damages resulting from participating in or traveling to/from the race and said location. I give permission for the use of my name(s) and or picture(s) in any media or any other account of this event.Signature*For online registrants, typing your name on the signature line above will have the same effect as a written signature.Total Due $0.00 Payment Method* PayPal Personal Check (Submit to BridgeMill Fitness Center) (Please make your check payable to: BridgeMill Sixes Service League) If you are paying through PayPal, you will be redirected to PayPal screen after submitting this form. This iframe contains the logic required to handle Ajax powered Gravity Forms.