Discontinue Walk with a Doc Chapter
*Note: if the renewal fee is the only reason you're discontinuing, we're happy to waive the fee. Please head to the renewal paperwork and select the "unable to pay" box. We won't let money stand in the way of you walking with the community!

If it's time to discontinue your Walk chapter... countless thank you's for leading the walks in your community and changing lives along the way. We're sad to see you go, but understand that this isn't the year to continue your program. We're always looking to improve, so we'd love to hear your feedback. Please feel free to reach out if/when you're ready to give it another try!
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Your Name *
Email Address *
Walk Chapter (City and/or Organization) *
What is your primary reason for discontinuing? *
Are there any other reasons that you're discontinuing?
Is there anything WWAD HQ could have done to help?
How many walks did your chapter host in the past 12 months? *
About how many people attended your walks on average? *
Approximately how many healthcare providers helped lead your walks in the past 12 months? *
Are you interested in being connected to other local WWAD groups when they get started in your area?
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Would you like WWAD HQ to reach out in the future to see if you're ready to get started again?
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Other Comments
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