100 Mile Walk Sign-up Sheet 

We will be kicking off this year’s walk on Monday, October 10 and will be at Seattle University walking around campus from 10 AM - 4 PM. Additional activities include hosting a roundtable discussion with a few SU students and we’ll be ending the walk by joining with the Kent, WA CROP walk volunteers and community members on October 16.

To either join Bloem for any day of his walks or to schedule a time to meet and chat, please fill in the information below.

Sign in to Google to save your progress. Learn more
Email *
To walk/meet Bloem at Seattle University on Monday, October 10, please fill in the time slot you are available and wish to join (you do not need to commit to the full hour).
Please indicate which other time frame/date, if any, you would like to join Bloem
Morning (8AM - 12PM)
Afternoon (12PM - 4PM)
Evening (After 5PM)
Tuesday, October 11
Wednesday, October 12
Thursday, October 13
Friday, October 14
Saturday, October 15
Sunday, October 16
In what capacity would you like to meet with Bloem? 
Can you share more details about any engagement you want to have with the 100 Mile or Bloem?
How did you hear about this event?
Please leave any contact information and the best way for us to reach you (text, call, email, WhatsApp, etc.)
Any additional comments?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy