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Walk 100 Interest Form - Join the MOVEment today! 

Fill out the form below with as much information as you are able to provide at this time. We’ll work with you on the details to ensure a successful walk and/or an appropriate sponsor/donor level.

Name:

Company Name:

Mailing Address:

Phone:

Email:


Select one or more participation level  a) Sponsor/Donor  b) Walk Captain  c) New Route Idea



Sponsor/Donor - Merchandise and cash donations are gratefully accepted. Attendees track their miles to be eligible for prize giveaways and raffle prizes are often given away at walk sites. Prizes, gifts or baskets can be creative, but should focus on and encourage a healthy and fit lifestyle.  

How can you help?  Cash Donation  Merchandise Donation


Comments:


What you’ll get for your generosity: We’ll post your company logo on the Walk 100 website and graciously thank you in our materials and at the final walk wrap-up party.



Walk Captain - Walk captains help to bring a walk to their neighborhood or business, provide input on walking routes and help to rally people to sign up for the walk, track miles and win prizes. It’s easy and fun!

Suggested dates to plan your walk:


Suggested neighborhood or route:

Comments:

 



New Route Idea - Got an idea for a new walking route in your neighborhood or near your business? Please share it with us!

Comments:

 

 


Additional Feeback

How did you learn about the Walk 100 Miles in 100 Days initiative?

Do you have any other suggestions or feedback to share about Walk 100?

Registration