2018 Quest for a Cure Walkathon Registration Form
Please enter the following information to help us plan for the event.  Your information will also be used to send confirmation of your tax deductible donation.  We will not sell or distribute your information to anyone other than RSRT.  Thank you!
Sign in to Google to save your progress. Learn more
Name *
Street Address *
City, State, ZIP *
Telephone *
Who are you walking in honor of? *
Including yourself, how many people are you registering? *
Method of Donation *
Liability Waiver
By clicking below, you, on behalf of yourself and all family members, agree to release and hold harmless the organizers of the 2018 Quest for a Cure Walkathon and the Rett Syndrome Research Trust from any and all claims, damages, or causes of action of any type, including personal injury, arising out of or in any way related to the walkathon.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.