Calendar
Subscribe to Monthly Newsletter
(888) 308-6251
We Can Help
For Persons With Memory Loss
For Family & Friends
For Employers
Learn More
Alzheimer’s & Dementia Basics
Maintaining Brain Health
Resources
FAQ
Get Involved
Donate
Volunteer
Attend an Event
Walk With Us
Create a Fundraiser
Advocate
Participate in a Research Study
Become a Partner
About Us
Our Mission
Our Vision
ADAW Staff
Board Of Directors
Newsroom
Employment
Annual Report
Contact Us
Ways to Give
Direct Donation
Memorial & Tribute Gifts
Gifts of Stock/IRA
Giving at the Workplace
Wills & Trusts
Blog
Alzheimer’s Walk: Step Forward. Give Hope.
DONATE
Walk Volunteer Registration
Home
Get Involved
Alzheimer’s Walks
Walk Volunteer Registration
Personal Info
*
= Required Field
First Name
*
Last Name
*
Email
*
Phone
*
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Date of Birth
*
How did you hear about us?
ADAW Newsletter
ADAW Website
Craigslist
Facebook
Flyer Posted in Community
Friend
Internet Search
LinkedIn
Other
Other Organization
Radio or TV
School/Professor
TV News
Twitter
Volunteer Fair/Career Expo
T-Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
Walk Assignments
Please select your first and second choice of Walk volunteer assignments:
Mark Walk Route
Event Area Setup
Event Area Cleanup
Start Line Marshal
Refreshments Table
Registration/Check-In
T-Shirts/Incentives
Which Walk are you interested in volunteering for?
Columbia/Marquette County
Crawford County
Dane County
Grant County
Green County
Iowa County
Richland County
Sauk/Adams County
Please indicate if you would like to be placed with another person who is also signing up, if applicable.
Emergency Contact
First Name
Last Name
Email
Relationship
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Waiver
Waiver and Release of Liability: I hereby waive all claims against the Alzheimer’s & Dementia Alliance of Wisconsin, sponsors, or any personnel for any injury I might suffer in my volunteer activities. I attest that I am physically fit and capable of the volunteer duties. I grant full permission for the organizers to use photographs of me and quotations from me in legitimate accounts and promotions.
*
I Agree
Please Consider Making A Donation
Your donations help us provide help and support to those living with memory loss and those who care for someone with Alzheimer's or other dementia. We are your partner along the journey!
DONATE
Top
