Moscow Mental Health Walk Registration Form

2026 Mental Health Walk Participant Sign-Up
Mental Health Walk & Rally--Saturday, April 11th

Friendship Square, Moscow Idaho

Here is our lineup of events:
- Rally Time Begins: 10 AM
- Costume Contest: 11:30 AM
- Walk/Run Start Time: 12:30 PM
We will also have a fun resource fair for you to check out with snacks, swag items, and information on local businesses and organizations!

If you have any questions on the event, please give us a call at:

208-883-0523
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
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Adult MAdult LAdult XLAdult XXLAdult XXXLChild MChild LChild XL
Yes, I Would Like a Pet Bandana
Individual-AdultIndividual-ChildTeamPet
*Share any information below that you would like us to know about your costume contest participation. (i.e. character or costume name, team name, pet name, etc)
Do you have any disability accommodations requests or anything else you wish us to know?
Participation Waiver: By clicking the box below, I hereby consent to participation in the Moscow Mental Health Walk Event and do expressly waive and release any and all claims against, and agree to hold harmless the Disability Action Center-NW and all their respective representatives of any kind from any and all claims which may be made for damages and/or injury to property or persons occasioned by any cause whatsoever, arising as a result of or in connection with my participation in the herein mentioned activity.

I Agree to the Above
I Consent to Be Photographed at Event
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2026 Mental Health Walk Participant Sign-Up