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2016 Walk MS Volunteer Registration Form

1. Please complete the following information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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Date of Birth:

 

 

 

What's this?

*2.

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

*3.
Question - Required - Please check at which location(s) you would like to volunteer:

*4.
Question - Required - I am available to volunteer at these times (times may vary by location):
Please make between 1 and 2 selections from the choices below.

*5.
Question - Required - Preferred volunteer position (positions not guaranteed):
Please make between 1 and 12 selections from the choices below.

6.

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

7.
Question - Not Required - Physical limitations:
Please make between 1 and 4 selections from the choices below.

8.

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

9.

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

*10.
Question - Required - Volunteer t-shirt size (unisex):







11.
Question - Not Required - Specialized training:
Please make between 1 and 5 selections from the choices below.

12.

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

*13.
Question - Required - Do you have a personal connection to MS?
Please make between 1 and 6 selections from the choices below.

*14.

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

15.
Question - Not Required - I want to promote Walk MS:
Please make between 1 and 4 selections from the choices below.

*16.


*17.
Question - Required - What prompted you to volunteer for Walk MS?
Please make between 1 and 8 selections from the choices below.

   Please leave this field empty

     

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