Survey - 2022 Greater LA Walk to Defeat ALS Livestream Zoom Watch Party

Golden West
Chapter

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2022 Greater LA Walk to Defeat ALS Livestream Zoom Watch Party

Thank you for your interest in the 2022 Greater Los Angeles Walk Watch Party! Please answer the questions and check your inbox for further instructions.

Please fill in your personal information.

Name:

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Email: Required

Phone Number:

Yes, I would like to receive important updates about this event from the Golden West Chapter

*2.

Question - Required - What is your ALS connection?

Question - Not Required - Are you registered for the 2022 Greater LA Walk to Defeat ALS?

	Yes
	No
	No, but please register me

Question - Not Required - What team are you on?

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

Question - Not Required - How many years have you been participating in the Walk to Defeat ALS?

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