White Cane Walk Registration - The Iris Network

29th Annual White Cane Walk for Awareness Registration

Registration for this event is free.

Participant Information

Name: *

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Address: *

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Please provide your phone or email address in case we need to contact you about the event.

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Please let us know if you will be walking with a white cane, guide dog, or other mobility aid, or need a human guide for the 1.5 mile walk.

I would like to register additional participants for this event.

Participant #1

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Participant #1 Telephone #:

Participant #1 Email:

Participant #1 preferred mode of communication: Select email, phone, or both:

I would like to register another additional participant for this event.

Participant #2

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Participant #2 Email:

Participant #2 preferred mode of communication: Select email, phone, or both: