MyEventRunner - Event Public Fill

Here's the tentative outline of the schedule for various tracks. (details and confirmation will follow later)
When you will have to be there:

DGEs Tuesday Afternoon - Sunday Afternoon
DGNs / All Disciplines - Wed Afternoon - Sun Afternoon (DG's, Membership Chairs, Foundation Chairs, District Trainers, International Service Chairs, Public image, Polio Chairs, and AG's
PDGs - Thur Afternoon- Sun Afternoon
Young Professionals / Future Leaders - Sat Morning & Sun Afternoon

Note registration fee does not include meal packages.

Optional: Do you have a ClubRunner login?

User Name:

Password:

Your Information

First Name:

Last Name:

Badge Name:

Email:

Club Name:

Preferred Phone:

Secondary Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Country:

State/Province:

If you are a PDG, what year did you govern?:

If you were Governor prior to 1992-93, please enter your year (xxxx-xx):

I consent to the collection, storage, and use of my information by Zones 28 & 32 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

Your Partner/Guest Information

First Name:

Last Name:

Badge Name:

Email:

Club Name:

Preferred Phone:

Secondary Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Country:

State/Province:

If you are a PDG, what year did you govern?:

If you were Governor prior to 1992-93, please enter your year (xxxx-xx):

I consent to the collection, storage, and use of my information by Zones 28 & 32 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.

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