W2W Registration Fee Grant Application
Questions marked by * are required.
1.	Name: *
2.	Street Address *
3.	City, State & Zip *
4.	Email: *
5.	I am * Paraplegic Quadriplegic Able-Bodied
6.	Please write a short essay (300 words or less) describing A. Why attending W2W is important to you, B. Your past and future advocacy efforts, and C. Your need for a grant. *