First Name ✻
Last Name ✻
Preferred Email Address ✻
How many participants are you registering (including yourself)? ✻
Are you comfortable with moderate physical activity (e.g., walking 1–2 miles on uneven ground)? ✻
If you responded "no" or "unsure" to the previous question, please explain below so we can best accomodate your needs.
Would you like to be added to a mailing list to receive updates about future events at JDSF?
Anything else?
