2008 Lincoln MS Walk Registration Form

Select any of the following options that apply:

I'd like to REGISTER for the Lincoln MS Walk

I'd like to help on the Lincoln MS Walk COMMITTEE

I'd like to VOLUNTEER the day of the Walk

I'd like to DONATE to the Lincoln MS Walk

Please provide the following contact information:

Are you walking on a team?
Yes No

All participants who raise $100 or more receive a T-shirt on the day of the walk. What size would you prefer?

Small
Medium
Large
X-Large
XX-Large

Select one of the following.   How do you relate to MS?

I have MS
I have a relative with MS
I have a friend with MS
Does not apply

How many years have you participated in the MS Walk?

Comments:

Thank you for registering for the Lincoln MS Walk! A Walker packet will be mailed to you soon. We look forward to seeing you on Sunday, May 4, 2008 at Kickapoo Creek Park.