Midwest Krawlers
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2025 Member Registration

Registration for new and returning full (voting) members for the 2025 year.

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The registration year for which the form is being completed. Used to format the Member Roster, combining Full Members and Associate Members.
Are you a new or returning (renewing from 2024) member?(Required)
Please choose one.
Birthday
This is completely optional, but we would love to send you a greeting on your special day! If you would rather not disclose your entire birthdate, leave the year as 9999.
Name(Required)
Please enter your primary phone number (including area code).
Email Address(Required)
Please enter and confirm your email address.
Age(Required)
Persons under the age of 18 may be registered as Jr. Krawlers, with a sponsoring adult member.
I would like to receive e-mail updates regarding club business and events.(Required)
I would like to receive text updates regarding club business and events.(Required)
message and data rates may apply
Address(Required)
Emergency Contact Name(Required)
Who should we contact in the event of an emergency? Please include first and last name.
Please enter the primary phone number of your emergency contact.
Please select a shirt size below.
How do you want to receive your membership SWAG?(Required)
Please select an option.
Tell us a little about your rig.
How did you hear about us?(Required)

I have read the By-Laws(Required)
I have read the Code of Conduct(Required)
I have read the Liability Release(Required)
Credit Card(Required)
This field is for validation purposes and should be left unchanged.