Friday, February 27, 2015

2016 Autism Walk Registration

On line Registration for the Autism Walk, the donation is 25 for adults and 10 for youth. The price includes the t-shirt and tickets for food and activities.

Autism Walk

Autism Walk Registration

Autism Walk Registration

Print the registration form below and return it to ASRC
Autism Awareness Walk 2016
Saturday April 16, 2016
Cole Park
Day of Registration 10:00 AM
Walk Begins: 10:45 AM

Registration Drop off Location
Autism Spectrum Resource Center
3440 S. Alameda
Corpus Christi TX 78411
For more information
Contact Bill Butler, LCSW (361)851-5111

Autism Awareness Walk
April 16, 2016 at Cole Park
Registration Form
Last Name____________________________________________
Phone_______________ E-Mail____________________________________________
Company or Team Name__________________________________________________
Person you are walking for_________________________________________________
Adult $25.00 ____              Child $10.00 ______          Total Walkers _________

Adult- ___S, ___M, ___L, ___XL, ___XXL, ___XXXL
Youth- ___YS, ___YM, ___YL, ___YXL
T-Shirt size availability will be based on the order that registration forms are received

Method of Payment: ____Check, ____ Cash, ____ Money Order_____
Make checks payable to: The Autism Spectrum Resource Center
____ I cannot participate but will make a personal donation. Amount Enclosed: $________

Autism Spectrum Resource Center
3440 S. Alameda
Corpus Christi TX 78411
Contact Bill Butler, LCSW (361) 851-5111
All proceeds benefit Autism Spectrum Resource Center CC-a 501 (c) (3)