26th Annual Memorial Walk-a-Roll-a-Thon / Illinois Spina Bifida Association

2025 Chicagoland Fall Family Picnic
and Walk & Roll

Saturday, September 27th, 2025

Shriners Children's Chicago
2211 N Oak Park Ave, Chicago MAP

11:30am-2pm

Free Pizza Lunch

Registration

Name of Person with Spina Bifida Attending*

FirstLast

Name of Parent / Guardian, for Children with Spina Bifida

FirstLast

E-mail*

example@example.com

Phone Number*

Opt-In to Text Messages (Optional)

By checking this circle, you agree to receive text messages from the Illinois Spina Bifida Association at the phone number provided above. You may reply STOP to opt-out at any time. Reply HELP for assistance or visit www.i-sba.org. Message and data rates may apply. Message frequency will vary. Learn more on our Privacy Policy page (www.i-sba.org/privacy) and Terms and Conditions (www.i-sba.org/sms).

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Total Number of ADULTS attending*

Total Number of CHILDREN attending*

Dietary Restrictions, Comments or Questions (Optional)

2025 Chicagoland Fall Family Picnicand Walk & Roll

Registration

2025 Chicagoland Fall Family Picnic
and Walk & Roll