Walk Planning Team Volunteer

First Name *

Last name *

Address

City

State/Province

Zip/Postal

Country

Email *

Phone *

What are the best days/times during the week to reach you?

What is your Walk for Apraxia location (Walk name)? *

Have you previously attended a Walk for Apraxia?

Yes

No

Relationship to childhood apraxia of speech? *

What are your areas of interest/skill? *

Is there any additional information that you would like to share? *

Please contact me to help with other volunteer duties (not Walk related) for Apraxia Kids. *

Yes

No