Registration

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Fill out this form to register. When you’re done, go to “Login” and create your own web page!

REGISTRATION INFORMATION

First Name:
Last Name:
Address:
City:
State/Prov:
Zip Code:
Country:
Phone Number:
Email Address:
Date of Birth:
Running Type:	Run Walk Jog
Running Shirt Size:

Fundraising Commitment:
I understand that by participating in the Special Childrens Center Jog A Thon I am committing myself to raise a donation minimum of $500.

Choose your username and password. You will need it to view your web page, and see who has sponsored you for this event.

Username:
Password:
Re-Type Password:

Optional Details:

How Did You Hear About Us?
Additional Comments:

Just click on “Register” and you will be directed to your “Sign-In" Page. You’re just a few clicks away from creating your own race web page.

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Do not hit the "Register" button more than once!

Special Childrens Center is a non-profit 501c3 organization.