Community Walk 2022 Interest Form

National-Walk-Day-2021

Host a Community Walk!

 

Thank you for your interest in hosting a walk in your community! Please fill out the form below to give us some more information about your event and we will be in touch with you soon. If you have questions, please contact Amy at awardzala@pulmonaryfibrosis.org or 312.878.2351 or Jake Meding at jmeding@pulmonaryfibrosis.org or 312.854.2627.

Please provide your contact information below.

Preferred method of contact
How did you learn about the Community Walk program?

Is this effort in honor or in memory of someone? What is your connection to pulmonary fibrosis? We want to learn about you! Please also include anything else you'd like to share with our team.

Please provide any additional details about your walk including, but not limited to: location, time, distance, registration fees, how will you spread the word about your event, etc.