Why I Walk Submissions

Prefix

First Name *

Middle Name

Last Name *

Suffix

Email *

Phone *

Address 1 *

Address 2

City *

Zip *

Tell Us Why You Walk *

I would like to remain anonymous *

Yes
No

I give Alzheimer's Orange County permission to contact me about my story. *

Yes
No

I give permission for my story to be featured on Alzheimer's Orange County's website, social media, and/or email marketing. *

Yes
No

Want to send us photos of the loved one you are walking to honor or of you participating at previous walks? Email us at marketing@alzoc.org, in the subject line write "Walk4ALZ Testimonial: John Doe". Thank you!

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