Constellation Energy Registration - Komen MD

Constellation Energy Registration

  • Register using your personal email
  • Within 7 days, Komen will send you a confirmation email that Constellation has paid your registration fee
  • Once you receive the confirmation email, go to the Constellation Team page to make your donation

Friends and non-employees: Click here to go directly to the Constellation Team Page to register.
Sorry, only employees can receive the free registration benefit.

* required information
Registration 
Contact Information
Title:
First Name:*
Last Name:*
Personal Email:*
Primary for Komen communications
Work Email:*
Employee Number:*(E)
Company Name:
Business Unit:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Birth Date:*(mm/dd/yyyy)
Gender:* Female   Male  
Would you like to be recognized as a Breast Cancer Survivor?:* Yes
No
Kids for Cure Responsible Adult Participant:
This survey assists us in tracking our inclusivity efforts - Ethnicity:
Create Username and Password
Username:*
Password:*
Verify password:*
Security Question:*
Security Answer:*
Additional Information
Please indicate if you plan to:* walk/sleep in
run in the 5K
2010 RFTC T-shirt Size (while supplies last):* YS
YM
YL
S
M
L
XL
XXL
XXXL
2010 RFTC Registration Type:*
  • Within 7 days, Komen will send you an email to confirm that Constellation has paid your registration fee
  • Go to the Constellation Team page via the link in your confirmation email
  • Make your donation and invite friends to support our Constellation Team

Questions? Call the Susan G. Komen office on 410-938-8990
or contact KomenRace@constellation.com or visit the Power of Caring website