MyEventRunner - Event Public Fill

Optional: Do you have a ClubRunner login?

User Name:

Password:

Your Information

First Name:

Last Name:

Email:

Club Name:

Rotary Club Contact Phone:

Student-Participant’s Name::

Name (City) of Student-Participant’s High School::

Student-Participant parent’s/guardian’s phone no.::

Student-Participant’s email address::

I consent to the collection, storage, and use of my information by Rotary District 5810 as described in this Privacy Policy. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time. Required

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