HAWC Healing Abuse Working for Change - Walk For HAWC Registration Form

18th Annual Walk for HAWC

Team Captain and Walker Registration Form

Sunday, April 25, 2010 - beginning and ending at Old Town Hall in downtown Salem, MA

Walk goal is $180,000

As a team captain, we ask that you:

Recruit five or more walkers from your friends, family, co-workers, or neighbors.
Publicize the Walk by hanging posters and distributing brochures.
Encourage your team to collect sponsorships and lead your team at the Walk.
Coordinate teams t-shirts purchasing with HAWC's t-shirt vendor.

Please fill out the information below. Fields in boldface are required.

*Name*
*Street Address*
*City*	*State* *Zip*
Email*
Pledge sheets/team packets will be mailed early March 2010
Home phone
Are you a team Captain?	or Individual walker?
Team Name
Captain Name (if not you)
Number of Team Members
How Many Pledge Sheets do you need?
Person who recruited you to Walk
I will hang posters in this area/city/town

* HAWC will not share your email with third parties; you will receive our monthly e-newsletter.

Your Walk History

I am NEW to the Walk	I have walked number of times
I've been a Team Captain	I've been a Walk volunteer

Since I am unable to be involved this year, I am sending a donation of $

Please click the submit button to email this information to HAWC.

You can print this page and mail it to:
Alicia Black Weaver at HAWC 27 Congress Street Salem, MA 01970 or fax at: 978-745-6886