2024 Walk Like MADD Volunteer Registration Form

WLM Volunteer Registration Form

Please check your preferred activity below. (Note: we will do our best to accommodate your preferences, but need to ensure coverage in all areas. We will be following up with your assignment(s) & thank you for your interest.)
For more information on how you can participate as a volunteer with MADD, please visit www.madd.org/volunteer. For local details, contact the MADD NY|NJ|PA Regional Office at 631-547-6233 or nynjpa@madd.org.

More information on each Walk Like MADD event can be found at their respective site:

Spring Walks:

New Jersey

Pittsburgh

Staten Island

Fall Walks:

Long Island

Philadelphia

Westchester

Capital Region
Full Name*

First NameLast Name
Contact No.*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Make Your Selections Below & Click To Submit Once Complete
Walk Like MADD 2024 Events (Please Select Events You Are Interested In)*

Saturday, May 18th - New Jersey Statewide Walk: Raritan Valley Community College, Branchburg, NJSunday, May 19th - Pittsburgh Walk & MADD Dash 5K Run - 10th Anniversary: North Park Rose Barn & Boat House, Pittsburgh, NYSunday, June 2nd - Staten Island Walk & FerryHawks Give Back Game: SIUH Community Park, Staten Island, NYTuesday, September 10th* - Long Island Evening Walk (Held this fall due to venue construction): Northwell Health at Jones Beach Theater, Wantagh, NYSunday, September 29th - Philadelphia Walk: The Mann Center, Philadelphia, PASaturday, October 19th - Westchester Walk: FDR State Park Field 4, Yorktown Heights, NYSunday, October 20th - Capital Region Walk: Saratoga Performing Arts Center, Saratoga Springs, NY

WLM Volunteer Registration Form

Make Your Selections Below & Click To Submit Once Complete

Click To Submit Once Complete