Application to Chalk Walk

Chautauqua Chalk Walk

Chalk Walk Apply Today!

2019 Madison Chautauqua Chalk Walk
Cost before September 1, 2019: $10
Cost after September 1, 2019: $15

Fields marked with an * are required



















I have read and understand the Rules of Participation for the Madison Chautauqua Chalk Walk.

By checking the box below you are stating that you are the parent or legal guardian of the applicant.

Note: For applicants under the age of 18, a parent or legal guardian must sign all application forms.



Payment information: Checks or credit cards accepted. Make checks payable to Madison Chautauqua. Please call the Madison Chautauqua at (812-571-2752) to pay by credit card.