WalkNOW2008

WALK NOW 2008, September 7, 2008. Pre-Registration closes on August 25th, 2008.

::: HOME ::: EVENT ::: REGISTER ::: DONATE ::: VOLUNTEER ::: SPONSORSHIP :::

Welcome to the first step of the registration process . Please take a few minutes to submit your Registration Information per the form below. Items with an asterik (*) beside it, indicate a required field. Those fields have to contain the requested information in order for registration to be complete.

Please Note: This is Step One of Two for Registration. Once this form is filled out and submitted you will be prompted to checkout using Paypal to pay your Registration Payment.

*Required

Name:

Title	First	Middle	Last	Suffix

Email:

Street 1:

Street 2:

City/State/ZIP:

City	State	ZIP

Country:

Phone Number:

Gender:

Date of Birth:

Month

Day

Year

I would like to be emailed when a donation is made on my behalf.

What is your team fundraising goal? $1,500 minimum
*Goal:

My Walk NOW 2008! Access Information
You will need a user name and password to access your personalized participant center.

*	User Name:	5 to 60 characters
*	Password:	5 to 20 characters
*	Repeat Password:

TEAM INFORMATION

I am a Team Captain Teamate

Please select a team if you are a team member joining a team.

Add Team:

Additional Information
*Indicates required information

*1.	I am at least 18 years of age or will be by the date of the event. Yes
*2.	Emergency Contact Name:
*3.	Emergency Contact Name: Phone
*4.	Emergency Contact: Relationship
*5.	T-Shirt Size:
*7.	Tell us where you first heard about Walk NOW 2008!
*8.	Are you a member of MI NOW?