Color Run for Success Presented by Brown & Brown in partnership with Auto-Owners Insurance Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Color Fun Run/Walk for Success Kids Under 18

$15.00 + $1.95 SignUp Fee

(Group Pricing)

Sponsor a Boys & Girls Club Child to Run/Walk

$15.00 + $1.95 SignUp Fee

(Group Pricing)

Yes No