step 1 of 2 (fundraiser setup form)

Hoosiers Outrun Cancer 2021 Fundraiser

Friday, December 31, 2021 in Bloomington, IN at IU Memorial Stadium

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

Fundraiser Information

The information you enter here is what people will see when they are looking for your fundraiser. Be sure to provide recognizable information.

fundraiser name: *
This fundraiser is a sub-group of:

Contact Information

Please enter your contact information in the form below. If you wish to participate as well, you will need to register separately.

first name: *
last name: *
address: *
city, state: *	,
postal code: *
country:
email address: *
notices:	I would like to be notified when someone registers for my fundraiser.
primary phone:
secondary phone:

Account Information

In order to administer your fundraiser homepage, you need a GetMeRegistered.com account. Please choose a username and password below.

desired username:
desired password:
reenter password:

When this page loaded, the official time was 3:38:15 PM EDT.