Teen 14-18 Video Game November 25, 2025
First & Last Name
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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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Telephone Number
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Can this phone number receive text messages:
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Yes
No
I authorize Community Autism Resources and its sponsors to photograph or record myself, my family members, or anyone I have registered for this event for educational and publicity purposes. I understand that no compensation will be provided, and I waive any rights to review or approve the materials.
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Yes
No
Liability Release & Assumption of Risk By registering for this event, I understand that participation for myself, my family members, or anyone I register is voluntary and may involve some risks, including injury, illness, allergic reactions (food will be served), or loss of personal items. I agree to take full responsibility for these risks and release Community Autism Resources, its staff, volunteers, sponsors, and event partners from any claims or liabilities that may result from our participation, except in cases of gross negligence or willful misconduct. I understand and agree to the terms of this release for myself, my family, and anyone I register.
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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)?
Are there any dietary restrictions?
Comments?
Please verify that you are human
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