Michigan Walk Volunteer

Welcome! Thank you for taking the time to fill out this survey.

1. Please enter your contact information below:

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Name:

 

 

 

 

 

         

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City/State/ZIP:

 

    

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If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association Saint Louis Chapter.


2.
Question - Not Required - How should we contact you?

*3.


*4.
Question - Required - How would you like to help?
Please make between 1 and 3 selections from the choices below.

5.
Question - Not Required - If you are interested in serving on one of our Walk Committees, please indicate your area of interest:
Please make up to 3 selections from the choices below.

6.
Question - Not Required - If you are interested in becoming a Walk Day Volunteer, please indicate your area of interest:

7.

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty