2015 Parkinson's Unity Walk
Volunteer Interest Form

Please fill out this form if you are interested in volunteering on the day of the 2015 Parkinsonís Unity Walk.
* required information
Contact Information
First Name:*
Last Name:*
Birth Date:*(mm/dd/yyyy)
I am filling out this form on behalf of a group: Yes
Group Name:
Number of Group Members:
Average age of group members:
Company Name:
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Volunteer area(s) interested in:
Number of hours you can dedicate to volunteering:*
Previous Unity Walk Volunteer:* Yes
List any of your requirements (ex: lifting restrictions):
Do not email
Do not direct mail
I understand that this is an interest only form for the 2015 Parkinsonís Unity Walk:* Yes
Thank you for your interest in taking action on the day of the Walk, as a volunteer!

As opportunities become available, you will be contacted by the Parkinsonís Unity Walk to discuss open volunteer opportunities and requirements.