Thank you for completing this application for your new Walk with a Doc chapter. Please read the following notes prior to completing the application:

1. The application may take up to 10 minutes to complete, so please ensure you have enough time.

2. Make sure you click "next" at the bottom until you finally see a button that says "submit".

3. The form will ask you for information about your organization, points of contact, and walk schedule. We can always adjust the information later on, so feel free to write "TBD" or make your best guess.

4. As a reminder, a WWAD "chapter" is defined by the walk location (one outdoor location and one optional inclement weather location) that you designate on this form. Email contact@walkwithadoc.org or call 614-714-0407 with any questions or to add additional locations.