The Breakfast Club Event Registration

The Breakfast Club Event Registration

Parents, Grandparents, Family Members... Join us for The Breakfast Club, held on the first Wednesday of each month from 9:30 - 11 AM at the CAR office, 40 A Dean Street in Taunton. Join us for conversation, connection, and community. Light breakfast snacks and coffee, tea, and water are included. We will also have an occasional special guest. Registration is strongly preferred for planning purposes. For questions contact Heather Baylies-Grigoreas at 508-379-0371 ext. 12 or hbayliesgrigoreas@communityautism.org.
Parent/Guardian Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Child's Name
Child’s Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please check which date(s) you would like to attend The Breakfast Club at our Community Autism Resources office. All sessions are from 9:30am to 11:00am. Dates for 2027 will be available as we approach the end of 2026.
Food Allergies or Dietary Restrictions (if any)
Liability Release & Assumption of Risk-By registering for this event, I acknowledge that participation for myself and my family members (including minors) is voluntary and may involve certain risks of personal injury, illness, or loss/damage of personal property. I agree to assume all such risks and, on behalf of myself and my family, release and hold harmless Community Autism Resources, its staff, volunteers, and event partners from any and all claims or liabilities that may arise from our participation, including those resulting from ordinary negligence (but not gross negligence or willful misconduct).I also give permission for emergency medical treatment to be provided if necessary and agree to be financially responsible for any related costs. I have read and understand this release, and agree that it will apply to me, my family members, and anyone I register for this event.
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:
Additional Comments or Questions
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