Register Your Event

Save the Date for your next Rally event by calling 1.800.327.6811 or fill out the form below and submit.

Event Information

Event Date (approximate):


Event Type (please check all that apply): *


Club or Group Name: *

Yes No

Has your group or club hosted a Rally before? *

If yes, please enter your last Event ID Number:

Ambassador Contact Information

* *
* *
* *
   * *

Send Registration Kit to me by:


Rally Reminder
Not sure of your date yet? Let us know when would be a good time to contact you:

Not going to be the Rally Ambassador this year?

Tell us who will be and we will contact them:


Contacting You

Yes No
* Rally can email me regarding communication about my Rally event and the Rally Program
* Please send me occasional email regarding breast cancer news, updates, or special events from Susan G. Komen for the Cure®