Registration Form

Overview - How to Participate - Register - Form a Team
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Registration Form

YES!! Register me to walk.

Name:

Home Address:

City:

State:

Zip:

Home Phone:

Work Phone:

E-mail Address:

Age:

Gender:

Male

Female

Please check all that apply:

I would like to participate in AIDSWalk 2009.

Download AIDSWalk Sponsor Form Here.

I would like to walk as part of the following team:
Team Name
Team Leader's Full Name

I would like to form a team. Please send me a team leader kit.

I would like to volunteer. Please send me a volunteer form.

Donation Gifts – you will receive one of the following with your donation of:
$100 or more – receive an AIDSWalk 2009 t-shirt

Tshirts will not be available until September 2009

Sorry, I am unable attend

I cannot attend AIDSWalk 2009, but would like to send a
tax-deductible contribution.

Click here to Donate Online or mail your check to the address below:

Please make checks payable to:
Community AIDS Partnership/CARES and send to:
Community AIDS Partnership/CARES, Inc.
85 Watervliet Avenue
Albany, NY 12206

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