The Bridge Event 2021
Provided by MATA's Net Therapy, Central Georgia Autism and Macon-Bibb Parks and Recreation
Space is limited!
Register by March 19 to be guaranteed a shirt.
Participant Name
*
First Name
Last Name
Guardian/Parent Name
*
First Name
Last Name
Guardian/Parent Email
*
example@example.com
Guardian/Parent Cell Phone Number
*
-
Area Code
Phone Number
Participant Age
*
Ages 5-17
Participant T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
I confirm that my child is on the autism spectrum.
*
Yes
I prefer that my child's buddy is:
*
Adult family member - mask optional
MATA volunteer - mask required
If you chose a family member, please list family member name, age and t-shirt size.
Submit
Should be Empty: