Mental Health Walk Registration Form
October 11, 2025 at 1:00pm
Event Details
Registration is not required but preferred, as it helps us plan to have enough food and safetly/security for the event. This is a rain or shine event. If it rains, we will move all activites to the Indoor Recreation Facility at 390 Paulison Ave. Additionally, please consider donating to the Mental Health Center of Passaic as they are a hub of mental health resources for many Passaic City families. Fundraise or donate $15 and receive a T-Shirt. Link: https://interland3.donorperfect.net/weblink/WebLink.aspx?name=E365591&id=19
Your Name
First Name
Last Name
Email Address
example@example.com
Will you have a guest with you?
Yes
No
Guest Name
First Name
Last Name
Email Address
example@example.com
Would you like to recieve e-mails about mental health resources or upcoming events?
Yes
No
Submit
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