Register For
Autism Walk

Registrant #1

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I understand that I am solely responsible for my health and safety, and acknowledge that I am physically capable of participating in any fundraising or awareness activity I undertake. If I am injured as a participant in an event, I agree to assume all risks, and to release and hold harmless Autism Alliance of Northeastern NY and its officers and representatives. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above.

I agree to allow Autism Alliance of Northeastern NY the use of my name and likeness in connection with my fundraiser, for any purpose related to advertising or promotion in all forms of media.

If the participant is under 18 years of age at the time of registration, the participant's parent or legal guardian must review and agree to this Waiver and Release. The parent or legal guardian understands and consents to its terms, and authorizes the participation of the registrant by his/her acceptance below.

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