2019 Bloomin' Uterus Endometriosis Awareness Walk Registration
Saturday, March 30, 2019, 11:00 a.m. to 1:00 p.m.
Liberty Station NTC Park 2455 Cushing Road, San Diego, CA; Passive Field I, Parking Lot F

Admission is free, but we are limited to 300 walkers. Registration is required for all attendees.

(All information collected here will remain private and will not be disclosed to anyone)

Email address *
Your first & last name *
Your first name (or nickname) will be shared on your name badge.
Your answer
Phone number
I may need to reach you if email doesn't work, there are last minute changes, etc. If you truly do not wish to share your phone number, you don't have to. But please verify your e-mail address is correct.
Your answer
Anyone else you'd like to register? *
If you are registering friends and family members, please list their full names and relationships to you (this includes infants and children). If none, please type none. (Example: Jane Doe, my mother).
Your answer
Do you have Endometriosis? *
If you do not have Endometriosis, who are you walking for?
For example: my wife, my friend, my aunt, all the EndoSisters, etc. If you'd like, you can provide their name, too.
Your answer
Anything you'd like to say about Endo?
This will be printed on your name badge. Anything you desire, but within a 250 character limit. If left blank, I will insert our usual blurb about our walk and the illness.
Your answer
Would you like information about our monthly support group meetings in San Diego or our private Facebook page? *
A copy of your responses will be emailed to the address you provided.
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