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Event Registration Form

Please Read

Registration fee is $10 per person and includes a T-shirt. Add additional participant name and shirt size in the Questions/Comments box. Each participant MUST complete a waiver of liability and hold harmless agreement. Please note the waiver information at the bottom of the form.

All proceeds benefit the Walk with Autism donation recipients. 

Youth Sizes
Adult Sizes

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: 173737 (this ID Number will need to be entered into the first box of the waiver form).

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