MyEventRunner - Event Public Fill

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!

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:

I consent to the collection, storage, and use of my information by District 7930 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

First Name:

Last Name:

Badge Name:

Email:

Club Name:

Preferred Phone:

Secondary Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Country:

State/Province:

I consent to the collection, storage, and use of my information by District 7930 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.

Select Options