2019 Los Angeles County Walk Volunteer Form

 

*Note: If you have ever registered as a fundraiser, volunteered, or made an online donation to our chapter, please log in with your username and password before completing this form.

1. Please enter your contact information below:

If you have previously registered, please login here to prepopulate your information.

*

Name:

 

 

 

 

       

*

 

 

 

City/State/ZIP:

 

    

*

 

 

*

Date of Birth:

 

 

 

What's this?

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*

5 to 60 characters

*

5 to 20 characters

*

 


*2.
Question - Required - What is the best way for us to contact you?




3.
Question - Not Required - How would you like to help? (you may choose more than one)
Please make between 1 and 3 selections from the choices below.

*4.
Question - Required - Please select your availability for the day of the event.
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: (you may choose more than one)

*6.


*7.
Question - Required - What size t-shirt do you wear?






8.
Question - Not Required - Are you interested in creating a fundraising team for this event?


9.

10.

11.

 

Please feel free to reach out to Jessica Partida at jpartida@alsagoldenwest.org with any questions/ concerns.

   Please leave this field empty

     

Thank You to Our National Sponsors

Our Local Presenting Sponsor

Our Local Sponsors

Unsupported global dynamic element: index=416, parameter=:HORIZONTAL:100:170: