ALS Ice Bucket Challenge Progress

 

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Connecticut Walk Volunteer

1. Please enter your contact information below:

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Name:

 

 

 

 

       

 

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If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association Evergreen Chapter.

 

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2.
Question - Not Required - How should we contact you?


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4.
Question - Not Required - How would you like to help?

5.
Question - Not Required - If you are interested in serving on one of our Walk Committees, please indicate your area of interest:

6.
Question - Not Required - If you are interested in becoming a Walk Day Volunteer, please indicate your area of interest:

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