Printable Team registration form
Printable Team registration form
Printable Team registration form
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
TEAM NAME: WALK SITE :<br />
Name:<br />
Street Address:<br />
City: State: Zip:<br />
Address Type (Please circle one): Home/Business/Seasonal or Temporary Date of Birth:<br />
Phone: (hm)<br />
(wk)<br />
T-shirt size (please circle one): S M L XL XXL Sex: M F<br />
(Please note: T-shirts are offered to those who raise $100 or more for walk MS)<br />
Employer:<br />
Email address:<br />
I would like to pick up my Walker Info Packet online (email address required).<br />
Name:<br />
Street Address:<br />
City: State: Zip:<br />
Address Type (Please circle one): Home/Business/Seasonal or Temporary Date of Birth:<br />
Phone: (hm)<br />
(wk)<br />
T-shirt size (please circle one): S M L XL XXL Sex: M F<br />
(Please note: T-shirts are offered to those who raise $100 or more for walk MS)<br />
Employer:<br />
Email address:<br />
I would like to pick up my Walker Info Packet online (email address required).<br />
Name:<br />
Street Address:<br />
City: State: Zip:<br />
Address Type (Please circle one): Home/Business/Seasonal or Temporary Date of Birth:<br />
Phone: (hm)<br />
(wk)<br />
T-shirt size (please circle one): S M L XL XXL Sex: M F<br />
(Please note: T-shirts are offered to those who raise $100 or more for walk MS)<br />
Employer:<br />
Email address:<br />
I would like to pick up my Walker Info Packet online (email address required).