MyEventRunner - Event Public Fill

Registration Instructions:
1. You may use your Madison ClubRunner logon and password to auto populate the information below.
2. If you don't have or remember your logon/password - you can manually type in your information below
3, Be sure to click "consent to collect information" and then "Select Options" to move to the next page (bottom right)

Optional: Do you have a ClubRunner login?

User Name:

Password:

Your Information

First Name:

Last Name:

Badge Name:

Email:

Preferred Phone:

Rotary Club of (Name):

Address 1:

City:

State/Province:

Zip/Postal Code:

I consent to the collection, storage, and use of my information by District 7475 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.

Your Partner/Guest Information