Solano County Walk to End Alzheimer's Kickoff RSVP

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Fill out this form to RSVP and join us at Wooden Valley Winery (4756 Suisun Valley Rd., Fairfield) on Tuesday, June 7, 2022 from 6:00 to 7:30 pm! Get inspired, meet other participants and have fun as we kickoff the 2022 Solano County Walk to End Alz! (The Walk event is on Saturday, October 22, 2022 at Harbor Plaza in Suisun City - Walk registration is at http://act.alz.org/solanocounty)

Email *

First Name *

Last Name *

Are you bringing anyone with you? *

Yes, 1 person.

Yes, 2 people.

Yes, 3 people.

No.

Other:

What are your guests' names (if applicable)?

Phone Number (xxx-xxx-xxxx) *

Company/Organization

Role with Company/Organization

Have you participated in the Solano County Walk to End Alzheimer's previously (2021 or prior years)?

Yes

No, but I have participated in Walk to End Alzheimer's in another location.

Other:

Clear selection

Have you registered for the 2022 Solano County Walk to End Alzheimer's (on act.alz.org/solanocounty)? *

Yes, I'm a Team Captain (please write Team name next to "Other" below).

Yes, I'm on a Team (please write Team name next to "Other" below).

Yes, as an individual Participant.

Not yet. I plan to register as a Team Captain (please write Team name next to "Other" below if you know it).

Not yet. I plan to join a Team (please write Team name next to "Other" below if you know it).

Not yet. I plan to register as an individual Participant.

I need help registering and/or I have questions - please contact me.

Other:

Required

How did you hear about the Solano County Walk to End Alzheimer's Kickoff event? *

Solano Walk e-blast

Facebook

Walk to End Alzheimer's website

Print media (please write which publication below next to "Other" - Daily Republic, etc.)

Word of mouth/from a friend/family member/colleague

A personal call, email or text from a Solano Walk Volunteer or Staff (please write their name below next to "Other")

From an organization I belong to (faith-based, service club, etc.)

Other:

Required

A copy of your responses will be emailed to the address you provided.

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