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Event Registration Form

Please Read

Registration fee is $10 per person. If you are registering for more than one person, please put the total for all participants in the registration fee box. Then, list the name, age and shirt size of each participant in the question/comments box. Please note the Waiver information at the bottom of the form. Thank you so much for supporting Walk with Autism!

Adult Shirt Size
Youth Shirt Size

Each participant will be required to complete a Waiver of Liability and Hold Harmless Agreement.

Once payment is remitted you will receive a confirmation email with a link to the form.

You may also access the form by clicking the button below.

**Approval ID Number: 141766 (this ID Number will need to be entered into the first box of the waiver form).

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