Walk For Autism Registration -

Walk for Autism Information

Name*

First Last

Email*

I would like to Register as:*

Sponsor

Vendor

Resource Provider

Individual ($10 per person)

Team ($10 per person)

Individual on the Autism Spectrum (free)

Children under 10 (free)

Sponsor Level

BRONZE $500 (1/4 page ad in book given to all registered participants, 5 complimentary entries, 5 Walk t-shirts. Table under the tent included.)

SILVER $1,000 (1/2 page ad in book given to all registered participants, logo on all printed materials, social media and event brochures as well as t-shirts given to all pre-registered Walk participants. 10 complimentary entries and 10 Walk t-shirts. Table under the tent included.)

GOLD $5,000 (FULL page ad in book given to all registered participants, logo on all printed materials, signage at walk site and ADS website, social media and event brochures as well as t-shirts and bags given to all pre-registered Walk participants. 15 complimentary entries and 15 Walk t-shirts. Table under the tent included.)

Team Name (if applicable)

Number of Team Members (approximate ok)

Number of Prepaid Walk T-Shirts

Please specify the size for each. (YM-3X)

Organization (if applicable)

Address

Street Address Address Line 2 City State ZIP Code

Phone

PROVIDERS/VENDORS ONLY: Would you like to reserve a table space at the event?

Yes

Maybe

If yes, choose below

I would like a space under one of the big tents with a table and two chairs ($50)

I would like a space under one of the big tents, I will bring my own table and chairs ($35)

I will bring my own pop up tent with a table and chairs ($25)

Table included in Sponsor Level (N/C)

Reservation Payment*

I will complete registration payment via Paypal after submission

I will pay by credit card - go to www.adshelps.org and click "Donate" to use credit card

I will mail my reservation payment to Autism Directory Service, Inc P.O. Box 73 Wappingers Falls, NY 12590

Additional Information or Questions

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Walk For Autism Registration

Welcome to the 2025 Hudson Valley Walk for Autism

Location: James Baird State Park in Pleasant Valley, NY

Check-in: 9:00 AM

Walk: 10:00 AM

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