Step 2 of 4 (Registration Form)

5k for 4J: On Track For Success
Donation Only

Saturday, October 5, 2024 in Eugene, OR at Alton Baker Park, Eugene, Oregon

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 *.

Select Your School Or Team

This is a group registration category. If you do not see your group listed, your School or Team leader has not registered. If you are the School or Team leader, click here to start a team.

Personal Information

Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

first name

last name

Contact Information

email address

re-type email

primary phone

Questions & Add ons

Thank you for your contribution!

* Donation

To keep the students in school district 4J On Track for Success! Please enter amount

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 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

5k for 4J: On Track For Success Donation Only