Discontinue Walk with a Doc Chapter
*Note: if the renewal fee is the only reason you're discontinuing, we're happy to waive the fee. Please head to the renewal paperwork and select the "unable to pay" box. We won't let money stand in the way of you walking with the community!

If it's time to discontinue your Walk chapter... countless thank you's for leading the walks in your community and changing lives along the way. We're sad to see you go, but understand that this isn't the year to continue your program. We're always looking to improve, so we'd love to hear your feedback. Please feel free to reach out if/when you're ready to give it another try!
Sign in to Google to save your progress. Learn more
What is your primary reason for discontinuing? *
Are there any other reasons that you're discontinuing?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Walk with a Doc. Report Abuse