Virtual Superhero FunRun/Walk in Support Of Autism Connections Fredericton

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Email *

I am Registering For... *

Family

Team

Individual

Name of Registrant

If registering for a team or family, please list the "team-name" below, along with the individual names. Ex: ACF Staff --> Makenna, Olivia, Rick

Registration Fees:

Walk: $25 per family OR $10 per individual
Run: $60 per family OR $25 per individual.
Teams: If you are fundraising on our behalf, registration fees not required - please email us if this is the case.

Will you be participating in the 5k Run or 2k Walk? *

5k Run

2k Walk

Method of Payment for Registration *

E-transfer to: acf@nb.aibn.com (Auto-Deposit is on). Please include name of who you are paying for in the "comments" section.

Cheque mailed to: 1666 Lincoln Road, Fredericton NB, E3B 8J6

If these methods do not work for you, please choose this option and contact us at: 506-450-6025

Will you be making an additional donation to Autism Connections Fredericton? *

Yes

If you answered yes to the previous question, please contact us for more information on where you can submit your donations. *

I understand

A copy of your responses will be emailed to the address you provided.

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