Please provide the following contact information:

Add me/my group to the Email List
Add me/my group to the Mailing List

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL

Select any of the following options that apply:

       I/we would like to volunteer with HDSA'S:

Annual Bowl-A-Thon
HD Walk
Media/Publicity
OC Community Involvement

 

HD WALK VOLUNTEER OPPORTUNITIES:

I/we would like to be part of:
 

Finish Line Cheers
Drink Stations
Floaters/General
Kid's Corner
Check-in Table
Route Signs
Route Cheers
UCI Site Set-up
UCI Site Take-down
Volunteer Table
Face Painting
Greeter Group
VIP Guest Assistance
 

How did you hear about HDSA's Orange County Affiliate volunteer opportunities?

a friend
www.hdsaoc.org website
Community Volunteer Center
Walker Packet
Other (Please specify)

How did you learn about Huntington's Disease?

Other Comments for HDSA Orange County?