Conquer Chiari Walk Across America

Conquer Chiari Walk Across America Registration Form

Registration if free, however a $20 donation is suggested. Shirts will be provided on a first come first serve basis while supplies last (with a donation). Registrants after 8/17 are NOT guaranteed a shirt.







Required if State/Province is left empty.




Donation Information
You do not have to donate to register. Simply enter 0 for donation amount.


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C & S Patient Education Foundation is a tax exempt charitable organization governed by Section 501(c)(3) of the Internal Revenue Code. Contributions to the Foundation are deductible as charitable contributions on your federal income tax return, subject to various limitations under the federal tax laws. For more information on your individual tax situation, please consult a qualified tax attorney, CPA or other tax advisor.

The official registration and financial information of the C&S Patient Education Foundation may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

Disclaimer: This publication is intended for informational purposes only and may or may not apply to you. The editor and publisher are not doctors and are not engaged in providing medical advice. Always consult a qualified professional for medical care. This publication does not endorse any doctors, procedures, or products.