VIRTUAL Purple Walk 2020 Registration
Sign up for this years VIRTUAL Purple Walk for Epilepsy taking place on Saturday, July 11, 2020
First Name *
Last Name *
Email Address *
If you are on a team, what is your team name?
Are you the team captain?
Phone Number
Mailing Address *
City *
Postal Code *
How many years have you participated in the Purple Walk for Epilepsy?
Clear selection
How old are you? (don't worry, I won't tell anyone)
THANK YOU!
We are thrilled that you have signed up for the VIRTUAL Purple Walk for Epilepsy. We are hoping to surpass last years 800 walkers so feel free to send this link to family and friend OR to sign them up yourself!

We will send you an online donation link in the coming days and are always here to help you raise funds! With your help we can meet this years goal of $100,000!

Let's show this city our PURPLE PRIDE!!

Brandon Fairley
Director of Development
Submit
Never submit passwords through Google Forms.
This form was created inside of Epilepsy Toronto. Report Abuse