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We are so excited you are signing up to participate in a Buzzing for Change event! Please fill out this two page form to register. In the process you will create an account that will allow people to sponsor you directly through our website and receive notifications of donations in your honor. You will also be given the option of creating a page where you can upload a picture and donors can learn about why you are participating. All of the stories will be compiled and listed here. If you have any questions or problems with registration you can contact the webmaster for your program.

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

Personal Information

First name:

Last Name:

Programs

I want to receive emails in text format