CCWAA September 19th & 26th, 2020

The Conquer Chiari Walk Across America is an annual fundraising and awareness event comprised of a series of local walks held on the 3rd and 4th Saturday of September.

In 2019, the Walk Across America was held at 74 sites, involved more than 7,000 walkers, and raised more than $380,000. Conquer Chiari is proud to be the largest private funder of Chiari research, with over $4 million in research projects to date.

Please note that we generally keep a distance of no less than 75 miles between walk sites. At times, we do receive multiple applications for a general area. If this happens we do our best to match volunteers with an existing walk site.

Organizer Application

* - required field

Contact Information

Name *
Address *

Walk items will be delivered to this address, No PO BOXES please.

City *
State *
Zip *
Home Phone *
Cell Phone *
Email *

Internet access is mandatory. Organizers and Staff utilize Facebook for communication

Alternate Organizers

  Name Email Phone

Desired Walk City

Walk City *

Background & Experience

Professional Background *
Volunteer Experience *
Connection *
Time Available *

Social Media & Sponsors

A successful walk depends on a number of factors, such as the ability to sign corporate sponsors.

Please answer the following:

How many people are in your social network in the walk area?
How many businesses in the walk area do you have contacts in?
I am willing and able to pay for incidental costs out of pocket.

Skills & Traits

Being a successful organizer depends on a number of skills and traits. Please rate yourself on the following:

Planning & Organizing *
Fostering Teamwork *
Overcoming Obstacles *
Handling Conflict *
Code of Conduct, Waiver, and Release

The C&S Patient Education Foundation is a 501(c)(3) non-profit organization doing business as “Conquer Chiari,” and dedicated to improving the experiences and outcomes of Chiari and syringomyelia patients through education, awareness, and research. Volunteering on behalf of the organization subjects you to the observance of the organization’s rules and procedures, including without limitation the following:

As a volunteer I agree to;

  • Treat staff members, other volunteers, and participants with dignity and respect.
  • Act responsibly on behalf of Conquer Chiari towards the communities served.
  • Act responsibly and respectfully on behalf of Conquer Chiari on all social media sites in all dealings with your walk and/or Conquer Chiari.
  • Act honestly and with integrity in all dealings with Conquer Chiari.
  • Appropriately handle conflicts with staff members, volunteers, or participants.

These acts are strictly prohibited.

  • Abusive language towards a staff member, board member, volunteer, or participant.
  • Discourteous or rude behavior to a staff member, board member, volunteer, or participant.
  • Verbal, physical, or any other form of harassment of a staff member, board member, volunteer, or participant.
  • Actual or threatened violence toward any staff member, board member, volunteer, or participant.
  • Bullying of any staff member, board member, volunteer, or participant.
  • Failure to reasonably cooperate with a staff member, board member, volunteer, or participant.

I have read and I understand the C&S Patient Education Foundation’s Code of Conduct. I agree to abide by the rules above and I understand that I may be removed as a volunteer if I violate any of these rules.

By signing this form, I hereby certify that I am undertaking this project as an unpaid volunteer and will derive no material benefit, cash or otherwise, from the fund-raising activities associated with the walk. I further certify that all funds raised will be for the benefit of C&S Patient Education Foundation (Conquer Chiari), and that I will comply with all Conquer Chiari guidelines and relevant local, state, and federal regulations. I further agree that I have read and understand my responsibilities as a Site Organizer and/or volunteer and I understand that Conquer Chiari can terminate my fund-raising on the organization's behalf at any time.

I agree with this Code of Conduct, Waiver, and Release
Walkers 18 Years of Age and Older

In checking this box, I confirm that I am 18 years or older.

Thanks for your support!
Rick Labuda, Executive Director