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* 1. Who is the primary contact for your walk/event?

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* 2. Additional Coordinator

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* 3. Additional Coordinator

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* 4. What style of walk/run/event are you planning?

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* 5. On what day will the walk/event be held?

Date
Date
Date

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* 6. Please share start times.

Time
Time

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* 7. What is the location of the walk/event?

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* 8. In what WSA region does your event take place?

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* 9. Will there be a location rental fee? (amount must be pre approved)

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* 10. Does the location require proof of insurance? (most locations require this document, please check with your venue to verify)

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* 11. Do you plan on using WSA online registration?

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* 12. What are the goals you have set for your walk/event?

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* 13. Are you planning to seek sponsors for the walk/event? (financial and/or products/services)

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* 14. Do you currently have any sponsors for the walk/event? (financial and/or products/services)

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* 15. Do you plan on having a social event following the walk/event? (BBQ, picnic, etc.)

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* 16. Will there be entertainment at the walk/event? (music, face painters, balloons)

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* 17. Will food be available at the walk/event?

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* 18. Would you like to sell WS Awareness merchandise at your event?

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* 19. Are you planning any additional fundraising opportunities? (auction, bake sale, etc.)

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* 20. Select the items you would like included in your Coordinator Care Package. Your package will be sent following the completion of your registration page.

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* 21. Additional Comments/Questions:

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