Run MAD for the Madleens Registration Form
To participate in the virtual run, you must buy the run MAD for Madleen Perk on the fundraiser link provided.Your registration will only be confirmed once the purchase is made. Please check the English version of the fundraiser with 24 hours for confirmation.Please ensure all fields are filled out.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birth Date
*
-
Month
-
Day
Year
Date
Gender
*
Female
Male
Other
Back
Next
Please enter the initials of your first and last name to confirm that you have read and understood the instructions.
Submit
Should be Empty: