GetMeRegistered Online NOW!

If you prefer, fill out the form below and mail it.
Name:
Birthdate:
Address:   
City:
State:
ZIP:
Phone:   
Email:
Check One: Male                  Female
Check one: New Member   Renewal
Check one: Runner              Walker
Membership 1 year 2 year 3 year
Adult $20 $38 $54
Family $25 $48 $69
Sponsor $35 $68 $99
Student $10
Family Membership are limited to immediate family members at the same address including children 18 years old and under. Please list names and ages:
Are you interested in volunteering for the CBRC?  yes   no
CBRC Races Newsletter Membership Computer Other
Registering online is faster and easier than printing, filling out, and mailing this form. If mailing is your choice send it with your check or money order to:

CBRC - Membership
315 E Geo Washington Blvd
Davenport IA 52803


If your membership information changes between renewals please send an email to "Membership".