ABILITY WALK 2016 Saturday, October 8 11:00 a.m. @ Lions Eastgate Park (behind Kmart) TEAM CAPTAIN COMMITMENT FORM CAPTAIN NAME: ________________________________________________ TEAM NAME: __________________________________________________ PERSON WHO INSPIRES YOU TO WALK: ______________________________ ADDRESS: _____________________________________________________ CITY, STATE, ZIP: _______________________________________________ HOME PHONE: _________________________________________________ E-MAIL: _______________________________________________________ TEAM GOALS: I hope to recruit a team of _________ members. My goal is to raise $___________ for Walla Walla Valley Disability Network (WWVDN) I want to receive information by E-mail or by Mail Please send this form in as soon as you have decided to put together a team. Mail or E-mail this Team Captain Commitment Form to: WWVDN PO BOX 1918, Walla Walla, WA 99362 Phone: 509-386-2356 [email protected] Walla Walla Valley Disability Network PO Box 1918 Walla Walla, WA 99362 [email protected] Mission Statement - To improve the quality of life for persons with disabilities and their families through community access and support.
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