Register to Walk

Name*

First Last

Phone*

Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you are unable to walk on October 17th, please list your alternate walking date here:

Consent

Throughout this walkathon and afterwards, we would like to be able to communicate with you! If you are willing to register for our enews to receive emailed updates on Envisage Pregnancy Services and are willing to receive mailed updates and thank you acknowledgements from Envisage Pregnancy Services, please select the checkbox below. You can unsubscribe at any time by calling 705-739-7280 or emailing info@envisagepregnancy.ca.

I agree to receive communications from Envisage Pregnancy Services via email and/or addressed mail.

How are you registering today?*

If you are joining a team, please enter the team name here.

If you are creating a new team, please enter your team name here. This is the name your team members will use to join your team, and donors will use to donate towards your fundraising goal.

Please enter your team fundraising goal here.

Please enter your individual fundraising goal.

CAPTCHA

Register to Walk

Categories