Family Fun Walk 2015 - Registration Deadline extended to October 9, 2015

  • Ameriana Bank 3333 E SR 32 Westfield, IN USA
Deadline to Register has been extended to OCTOBER 10, 2015

Deadline to Register has been extended to OCTOBER 10, 2015

Print Form Below for Mail in Registration

Online Registration Below.  All registration money to be received by October 1st, 2015 for shirt orders.

Name *
Name
How many child walkers in your group
S, M, L, XL, 2XL for each
Youth S, M L, XL for each

After submission you will be prompted with a link here to online payment option.  There is a $1.50 convenient charge to process.  Click on "Pay Here" to complete registration.  

Complete this form and mail check to:

Westfield Youth Assistance Program

2728 E. 171st Street

Westfield, Indiana 46074


**RETURN FORMS BY OCTOBER 10, 2015