This is the registration form for District 7930!

If you are a member of districts 7890 or 7910, please do NOT
register here, and instead go to your own district's registration page.
Thank you!
Contact Information
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:
 
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: