The date is to be announced at the start of 2017. You can still show your interest in participating in the event by completing the form below. Filling out the form does not make you obligated to participating in the event.

When the date is set you will receive a phone call letting you know the day and time and verification on whether or not you are participating. The form is not limited to just an individual if you are a group/company please make sure to state that in the message section.Any additional questions comments or concerns can be left in the message section of form.

Make a difference day sign up form 2017