5th Annual Lyme Disease Awareness Walk and LymeAid Concert

To Benefit LymeBuddies

Registration Form

Register for the Walk

Click here or on the image to the left to download a PDF of the Registration form.

Click here to download a .DOC of the Registration form.

Registration fee: $10.00

Please include registration fee in form of cash, check or money order when returning your form. We will send you a confirmation/receipt via e-mail or mail upon request.

Send form and payment to: (Make all checks payable to Lyme Disease Awareness Walk or LymeBuddies)

Lyme Disease Awareness Walk

C/O Jessica Platanitis

723 Riverside Street
Apt #326
Portland, ME 04103

Thank you for your support!