2026 Pine Bluff, Arkansas Promise Walk for Preeclampsia Committee Interest Form

2026 Pine Bluff, Arkansas Promise Walk for Preeclampsia Committee Interest Form

Thank you so much for interest in supporting this great cause. This walk is more than an event — it’s a stand for mothers, families, and lives affected by preeclampsia. It’s a commitment to raise awareness, honor mothers who are no longer with us, and recognize preeclampsia for what it truly is: a crisis. We need your help to make this event successful. Any way you can help is greatly appreciated. Please fill out the Google form to join our committee and to receive emails regarding all updates and meeting Zoom links. We will discuss walk details and answer questions you have at meetings. We can't wait to see you there! * Please note all emails will be sent BCC, so one will know your email address.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Availability

Please select the days you are available for monthly meetings .
Days Available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What time of day are you available for meetings? Select all that Apply

MorningsAfternoonEvenings
Areas you would like to get involved. Select all that apply. Please note that everyone is welcome at all monthly meetings whether you select " Committee " or not. Meeting links will be sent to everyone! Have an idea for something else? Let us know by selecting "Other"

Committee: I can commit to monthly meetings to help make decisions about the walkGeneral Support Volunteer: I can committ to supporting general tasks as needed/as assignedMarketing/Advertising/ Passing out FlyersSponsorships, Vendors, and RafflesEvent Day Volunteer: I will be there to help set up, break down, and help throughout the eventKeep Me in the Loop: I can't commit to anything just yet, but please keep me informed .Moms on A Mission: Join others as they tell their stories.Other
Why are you interested in assisting with Pine Bluff Promise Walk?
Where are you located? (County)
Is there anything else you would like to share with us?
Should be Empty: