Registration

REGISTRATION FORM

First name:
Last name:
Address:
City:
State:
Zip/Postal Code:
Country:

Home Phone:
Cell Phone:
Work Phone:

Email Address:

I will walk in:
I am walking and would like to volunteer.
I am unable to walk but would like to volunteer.
Please send me information about vasa previa.
I want to organize Sophie's Walk in my city. Please contact me!

Additional Note:

Bring your donation and contributions from your sponsors to the walk. Or mail your donations and contributions to:

IVPF / Sophie's Walk
P.O. Box 272293
Boca Raton, FL 33427-2293
SophiesWalk@vasaprevia.com

Better yet, donate online through PayPal:

Please mention the name of the walker you are sponsoring and the walk location. Keep your PayPal receipt for tax purposes. Donations over $20 will be acknowledged by the IVPF. All donations given at the walk will receive a receipt at the walk. Thank you for your support! Vasa previa is an avoidable tragedy and one that we CAN do something about.