CCWAA September 16th & 23rd, 2017

The Conquer Chiari Walk Across America is an annual fundraising and awareness event comprised of a series of local walks held on the 3rd and 4th Saturday of September.

In 2016, the event was held at 85 locations, involved more than 11,000 participants, and raised over $500,000 for research and other patient centered programs. The 10th annual walk will be held on September 16th & 23rd 2017. As always, it is our goal to have at least one walk in every state, and for 80% of the money raised going towards research, education, and awareness.


Registration is free, however a $25 donation is suggested.
The deadline to guarantee a t-shirt has passed. Additional shirts will be available on the day of the walk on a first come, first serve basis with a minimum donation of $25.00
Pre-registering helps walk organizers plan accordingly.

Individual Registration
Group Registration is available here.

* - required field      APO/FPO Military Address Instructions

Walk Location: *
Team: 
First Name: *
Last Name: *
Address: *
 
City: *
State: *
Zip Code: *
Email: *

Fundraising Page Information
Password: *  min 4 char
Confirm Password: *
Fundraising Goal: *   numbers only, no '$' or ','
Message: (This message will be displayed on your personal fundraising page. It can be changed at a later time.)

Chars Remaining: ---   (Max 3500 chars)
 
Donation Information
If you will be paying your donation at a later date, or will be paying by check, please skip to Waiver and Release and click Continue.
Donation Amount:    numbers only, no '$' or ','
Card Type: 
Card First Name: 
Card Last Name: 
Credit Card #: 
Card Verification #:    What is this?
Expiration: /
 
Waiver and Release
Walkers 18 Years of Age and Older
In consideration for participating in the Walk Across America, I acknowledge that I am an adult of at least 18 years of age. As such an adult, I knowingly and freely assume all such risks of the Walk, both known and unknown, and assume full responsibility for my participation in this volunteer activity. For myself and on behalf of my heirs, assigns, personal representatives and next of kin, I hereby release, indemnify and hold harmless C&S Patient Education Foundation, its Board of Directors, officers, officials, agents, employees, other volunteers, sponsoring agencies, sponsors, and advertisers with respect to any and all injury, death, loss or damage to property or person associated with my presence or participation in the Walk, whether arising from the negligence of C&S Patient Education Foundation or otherwise, to the fullest extent permitted by law.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (under age 18 at time of registration)
This is to certify that I, as parent/guardian with legal responsibility for this minor child, do consent and agree to this release as provided above of C&S Patient Education Foundation and for myself, my child and our heirs, assigns and next of kin, I release and agree to indemnify and hold harmless C&S Patient Education Foundation from any and all liabilities incident to my child's involvement and participation in this Walk as provided above, even if arising from the negligence of C&S Patient Education Foundation or otherwise, to the fullest extent permitted by law.

    

Thanks for your support!

Rick Labuda, Executive Director
director@conquerchiari.org
724-940-0116


APO/FPO Military Address Instructions
  1. For Army, Navy and Marines: Enter Unit Number and Box Number in the "Address" field.
    For Ships: Enter Ship Name and Hull Number.
    For Air Force: Enter PSC Number and Box Number.
  2. In "Address Line 2," enter optional military command or organization name (e.g., USAG J or 2/566 Postal Co.).
  3. In the "City" field, enter APO or FPO.
    Please note: Our fulfillment partners cannot ship to city codes other than APO or FPO for military shipments. Entering a city other than APO or FPO will result in delays in your order being processed, or potentially cancelled. Only enter the city and not a combination of city and state in this field. This will also result in delays/cancellation of your order. (Incorrect: APO AE, AE.) If you are stationed in a war zone, our system also may not recognize your address. Please review your entry for accuracy and check the box to accept terms and conditions to send to your address. This will override our system and allow you to proceed with your order.
  4. On the "State" line, select one of the following:
    AE – Armed Forces Europe, Middle East, Africa and Canada
    AA – Armed Forces Americas
    AP – Armed Forces Pacific
  5. On the "ZIP Code" line, enter the 5-digit ZIP code for the military unit. Your military ZIP code must start with a 0 or 9. Any other zip codes in combination with AE, AA or AP will result in processing delays/cancellation of your order. Your billing address ZIP code (or home address code) cannot be used in place of your military ZIP code.