Walk Maryland Registration

Walk Maryland Registration
Welcome to Walk Maryland! Please complete this form if you would like to be a: 1) Walking Leader or 2) post your walking event on our website. For those posting a walking event only your name, email, and location of walk will be visible to the public.

1. Please provide your contact information:

Name
Email Address

2. Are you registering as a Walking Leader?

3. Is this your first time participating as a Walking Leader?

3. If no, how many years have you been a Walking Leader?

3. Please provide the following information about your walk or event: *This question is required.

	Name of walk or event
	Name of individual or organization hosting the walk or event
	Date(s) of walk or event
	Time
	Location Name (if any)
	Street
	City
	Zip