Honorary Chairs

Gloria Lawlah
Maryland Office of Secretary, Department of Aging

Dept. of Aging

Pat Muse
Anchor/Host
News 4 at 4

NBC 4.com



Rene Nash

WUHR

Delegate
Jay "Sky" Walker Maryland House
of Delegates
26th District

Friends of Jay Walker

Coordinators

  • Children's National Medical
    Center, Center for Cancer
    and Blood Disorders

  • DC DOH/ CHA/ Sickle Cell
    Program

  • District of Columbia Greater
    Access to Pediatric Sickle
    Cell Services, Howard
    University

  • Faces of Our Children, Inc.

  • Georgetown University
    Hospital, Div. of Ped.
    Hematology/Oncology

  • Howard University Center
    for Sickle Cell Disease

  • Howard University Hospital

  • Lauren D. Beck Sickle Cell
    Foundation, Inc.

  • Sickle Cell Association of the
    National Capital Area, Inc.

Register for the SOS Walk 2008
Complete the information below to register for the National SOS Walk. Upon complettion, you will be directed a page with a link and instructions for setting up your online giving page on FirstGiving.com. Each individual walker must register.
First Name
Last Name
Address
City State
ZIP/Postal Code Telephone
Business Phone Other Phone
Email
Team Name, please select from the list below. If not listed, please list in other below. - Each individual walker must register.
Networking Professional Associations Sororities/Fraternities
Civic Organizations Faith Based Non Profit Organizations
Health Organizations
If other, list here
My company has a matching gift program
If yes, list Company Name:
To help our environment, I want to be a "GREEN WALKER". I will access my fundraising materials online to save paper and postage:
I would like to set a goal to raise $1,000 or more and join the Platinum Walkers Club:
In addition to walking, I would like to help produce the event. I am available to volunteer. Please check all that apply:
Daytime (M-F)
Evenings (M-Th)
Phonebank (M-Th)
Spirit Night - August 29, 2008
Saturday Set-Up, September 20, 2008
Day of the National Stomp Out Sickle Cell Walk
T-shirt Size (T-shirts are incentive awards for raising $150)
I would like to decline any awards for my fundraising efforts:
I would like to receive a voter registration card:
Gender
Age Range:
How did you hear about National Stomp Out Sickle Cell Walk 2008?
Please attend National Stomp Out Sickle Cell Walk Gala Event - September 12 - Time/Location TBD
Donation - You can take your first step in supporting National Stomp Out Sickle Cell Walk 2008. Start your fundraising by making a personal donation. Enter the amount below:
Amount: $ (Currency shown: US Dollar)
We encourage you to collect donations from your colleagues, friends and family and now you can do it all online. After registration, you will be directed to a page with instructions on setting up your online giving page at www.firstgiving.com.
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