Step 2 of 4 (Registration Form)

Run For Your Life - Eugene, OR
T-Shirt Purchase or Raffle Ticket Purchase Only

Sunday, October 19, 2025 in Eugene, OR at Alton Baker Park

Please enter your registration information in the form below. When you are finished, click the "Proceed to Confirmation Page" button to continue. Required fields are marked with a *.

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Personal Information

Payment Information

Please enter your billing information. The credit card type will be determined automatically. Your information will be processed over a secure, encrypted connection. Once you have finished registering, GetMeRegistered.com will not store your credit card details.

credit card number

Expiration

security code

Copy name, country, address, postal code, city, and state/province from above?

name on card

billing street address

billing postal code

billing city

Charges will appear as "PP*GetMeRegistered Events" on bank statement description. All registrations are final. There are no refunds or cancellations. Check this box to acknowledge before continuing.

Proceed to Confirmation Page

Run For Your Life - Eugene, OR
T-Shirt Purchase or Raffle Ticket Purchase Only

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

Select Shirt Size If You Would Like To Also Purchase A Shirt:

Please Consider An Additional Donation.

Other Amount

Would You Like To Purchase Raffle Tickets?

Payment Information

Run For Your Life - Eugene, OR T-Shirt Purchase or Raffle Ticket Purchase Only

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

Select Shirt Size If You Would Like To Also Purchase A Shirt:

Please Consider An Additional Donation.

Other Amount

Would You Like To Purchase Raffle Tickets?

Payment Information

Run For Your Life - Eugene, OR
T-Shirt Purchase or Raffle Ticket Purchase Only