Walk with Ease Program Interest Webinar Registration

Thank you for your interest in the Walk With Ease Program.

In order for us to provide you with a live Walk With Ease Webinar, please register with your information below.

Live Walk With Ease Program Interest Webinars will be held on Thursday morning 10-11am of the following months:

A Zoom link will be sent to you by email prior to the webinar.

After the webinar, Mona Burwell, Arthritis Coalition Coordinator at the Virginia Department of Health, will be contacting you with next steps.

Thank you for your interest in Walk with Ease!

1. Name (First): *This question is required.

2. Name (Last) *This question is required.

3. What is your title, if applicable? If self guided, put NA *This question is required.

4. Affiliation. Please provide the name of the organization you work with and would sponsor the Walk with Ease program. If you are interested in the self guided, use "self" as affiliation. *This question is required.

5. Email address: *This question is required.

6. What is your phone number with area code? *This question is required.

7. What date will you be attending the Walk With Ease Webinar? *This question is required.

8. Are you certified in CPR? *This question is required.