Trick or Treat Event at Community Autism Resources | Tuesday, October 29th | 5PM - 8PM
Parent's First & Last Name
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Child's First & Last Name
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Child's Date of Birth
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Month
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Day
Year
Date
DDS Eligibility
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DDS
Autism Division
I have not applied for either
Applied waiting to hear back
Street Address
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Town/City
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State
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Zip Code
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Email (confirmations will be sent to this address)
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# of people attending (immediate family only) - please register your own family - call with questions
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Telephone Number
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Please select items your Trick or Treater is able to have
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Any Candy - No Dietary Restrictions or Allergies
Organic/Gluten Free Candy Options
Non-Edible items ex: Playdoh, sensory toys, fidgets etc.
Will your Trick or Treater require visual and/or AAC support
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Visual Supports
AAC Supports
No Supports Needed
Please select your desired time slot: Your family will be given a 30 minute time slot, joined by 4 other families. Please Note: If your time is no longer available, we will contact you for a 2nd option
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6PM - 6:30PM (1 Spot Available)
6:30PM - 7PM (1 Spot Available)
7PM - 7:30PM ( 1 Spot Available)
7:30PM-8PM (3 Spots Available)
If your Trick or Treater is in need of a costume, we have some donated costumes. Please indicate size needed and if we have it, we will contact you. If you do not need a costume, please type "No" in the text box.
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I give Community Autism Resources, and their sponsors, permission to have myself, my family members, or any person(s) that I have registered for this Event to be photographed/videotaped for educational/publicity purposes only:
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Yes
No
I understand that participation in this event is at our own risk and will not hold Community Autism Resources liable for personal injury or loss/damage of personal property:
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Yes
I hereby agree to notify CAR if I am unable to attend this event (either via email or phone listed on confirmation). Notification should be received prior to the event or up to 24 hours after the event whenever possible. If such notification is not received by CAR, I understand that I will be unable to attend CAR events for 6 months from the date of this event.
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Yes
Are there any accommodations that you will need that we should be aware of (sensory, behavior, etc)?
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