Brain Injury Association of Arkansas
2008 Walk for Thought Pre-Registration

Please provide the following information.
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Use the <Enter> key or the [Submit Form] button to submit your information.
Our Special Thanks to our 2008 Event Sponsors

Platinum Sponsor
 

Arkansas Department of Health
Keeping Your Hometown Healthy

 

Silver Sponsor

Bronze Sponsors  

Timber Ridge Ranch NeuroRestorativeŽ Services

Wilson, Engstrom, Corum & Coulter, Attys
Larry Root & Associates, Ameriprise Financial

Bryd Law Firm, PA

Dan-Ark Mini-storage
 

Date: March 15, 2008
Registration Begins: 9:00 am
Walk/Run Begins: 11:00 am
Site: Pavilion 3, Murray Park, Little Rock, Arkansas
Entry Fee: $20 can be paid at registration.
First Name:
Last Name:
Address:
City State Zip:    
Home Phone:
Work Phone:
Cell Phone:
Fax:
email:
T-Shirt Size:
You plan to participate in the
Are you on a Team?    
If Yes, what is your team name?
Are you the team captain?
If No, who is the team captain?
Your Age:
Guardian, if under 18:
Please mail to the above address the following: (If you can't print your own.)
  Walker Information
  Poster
Comments:

You must pre-register by March 5 to ensure you get a t-shirt at check-in.

updated 02/08/08 10:54 pm - gary@glowar.com