Autumn Walk Registration

Which Autumn Walk will you be attending?

Owensboro
Evansville

Register for the Autumn Walks

Team Name (If applicable)

After completion of this form, you will be directed to the Tri-State MS Association's PayPal where you can donate your pledged amount. Donations will also be accepted at the Autumn Walks.

Please select a donation level.

If you selected Other, please enter your donation amount below:

I will be paying for my registration by:

PayPal
At the Autumn Walk
Mailing in Donation
Not Applicable

If you donated at $50 or more, please select a T-Shirt size.

First Name *

Last Name *

Address 1 *

City *

State *

Zip / Post Code *

Email

Phone

Total

Autumn Walk Registration

Sign up to join us for the Autumn Walks and pledge a donation!