Walking Group Survey
We would like to expand our walking group program! But we need your input and help to do so.

Please fill out this short survey to let us know what you’d like to see happen, and how you would like to be involved!
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First and last name *
Mailing address *
Email Address *
Phone Number *
Which of the following time-slots could work for you in? Select all that apply
6:00AM 7:00 AM
7:00 AM - 8:00 AM
11:00 AM - 1:00 PM
3:00 PM - 5:00 PM
5:00 PM - 7: 00 PM
7:00 PM - 9:00 PM
Please select any specialized community walking groups you might be interested in joining.
Anyone can walk with any group that is scheduled to walk, but if you are entering a safe space as an ally, please be a good one.
Are there any additional groups you would like to suggest?
Are you willing to be a walk leader? *
Walk leaders are needed to represent and coordinate each of the specialized walking groups.
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This form was created inside of Stevens Square Community Organization.