step 1 of 2 (team setup form)

Empower House Spooktacular 5K Fun Run

Saturday, October 4, 2025 in Davenport, IA at Quinlan Court 101 W River Dr, Davenport, Iowa

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

Team Information

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

team name: *

Leader's 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 team.
primary phone:
secondary phone:

Account Information

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

desired username:
desired password:
reenter password:

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