Step 2 of 4 (Registration Form)

CPRD Camellia 10K / 5K
Purchase Shirt Only

Saturday, April 11, 2026 in Newberg, OR at Chehalem Cultural Center

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

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credit card number

Expiration

security code

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

name on card

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billing postal code

billing city

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Proceed to Confirmation Page

CPRD Camellia 10K / 5K
Purchase Shirt Only

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

1. Please designate a team affiliation

2. How did you hear about the event?

3. If you were referred by someone, please enter their name here

Payment Information

CPRD Camellia 10K / 5K Purchase Shirt Only

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

1. Please designate a team affiliation

2. How did you hear about the event?

3. If you were referred by someone, please enter their name here

Payment Information

CPRD Camellia 10K / 5K
Purchase Shirt Only