_______ Walking! I am going to:
______ Walk as an individual walker, with no team
______ Start a team and be Team Captain. My team’s name will be:
__________________________________________________*
*please see reverse side of this sheet.
______ Join a team that someone else started. That team’s name is:
__________________________________________________
______ I will be walking or starting a team for another NAMI affiliate. My affiliate has already seen and signed the Affiliate Agreement and returned it to the NAMI of Greater Chicago office.
Other affiliate: ________________________________________________________
_______ Volunteering to work the day of the Walk. (Tasks include setting up the Walk site, registering
walkers, serving refreshments, giving out event T-shirts, cleaning up after the Walk is over).
_______ Helping to get other people and businesses I know involved.
_______ Helping to promote the Walk by scheduling a presentation on it at my workplace or at a meeting
of a group or organization I belong to.
_______ Helping to recruit companies or businesses in the community to sponsor the Walk by
making cash donations or by donating goods or services.
_______ Helping to get food and refreshments (coffee, bottled water, juice boxes, sport drinks,
bagels, donuts, snack foods, fruit, etc.) donated for the Walk.
_______ Helping to provide or obtain entertainment (music, clowns, jugglers, magicians, face painters,
etc.) for the Walk. Please specify the entertainment: ________________________________
_______ Helping in some other way. Please explain: _________________________________________________________________________
Here is my contact information:
Name: ____________________________________________________________________________
Phone Number: _______________________ Email Address: ________________________________
Address: __________________________________________________________________________
__________________________________________________________________________
City: __________________________________________ State: _____ Zip Code: ______________
NAMI of Greater Chicago
1536 W. Chicago Ave.
Chicago, IL 60642
(P) (312) 563-0445 (Fax) (312) 563-0467 (Email) namiwalkschicago@gmail.com
Creating a Team
I am interested in organizing a team of walkers to participate in NAMIWalks Chicago on Sunday, September 21, 2008.
In starting this team, I will be my team’s Team Captain. I have already listed all of my contact information on the other side of this form:
Our team name will be: _______________________________________________________________
My Assistant Team Captains (if any):____________________________________________________
Our team goals are:
Number of Walkers: __________ Dollars (Number of walkers x $100): _________