Easter Seals:

Volunteer

Help Easter Seals Create Solutions and Change Lives

Besides participating as a walker, we're always looking for volunteers to help us in coordinating the event itself -- as course marshals, registration and prize tent workers, and in a variety of other ways. Please fill out the following form if you can assist by sharing your time and talents, and someone from Easter Seals will contact you shortly.

*1.

Please enter your contact information:

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Country: Required

Phone Number: Required

Question - Not Required - Work Phone:

*3.

Question - Required - Where would you like to volunteer?

(Maximum response 255 chars, approx. 5 rows of text)

*4.

Question - Required - Date of Birth (mm/dd/yyyy)