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Register Today for our 7th Annual Walk for Autism Awareness

Date/Time: April 27th, 2019 @ 11:00am, sharp!
Location: Casey Park at 150 North Division Street, Auburn, NY

Phone *
Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
E. John Gavras Center Walk for Autism Awareness Waiver Form. I am signing this form for myself (or for the participant named if he or she is a minor). I understand and agree to absolve the E. John Gavras Center, and all sponsors, be they individuals or organizations, singly or collectively, of all blame for injury, misadventure, harm, loss or inconvenience suffered in any of the activities associated with this event. *
E. John Gavras Center Walk for Autism Awareness Waiver Form. I am signing this form for myself (or for the participant named if he or she is a minor). I understand and agree to absolve the E. John Gavras Center, and all sponsors, be they individuals or organizations, singly or collectively, of all blame for injury, misadventure, harm, loss or inconvenience suffered in any of the activities associated with this event.
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