Registration and Medical Release: DUE May 31, 2019
ALL REGISTRATIONS MUST BE COMPLETED ONLINE!!!
This form must be completed for EACH participant...
Once Submitted:
1. You will receive an email with an attached form
2. Print off form and sign
3. Send in signed form with money to:
Kelly Shaw
Talladega Regional Center
P.O. Box 698
Talladega, AL 35161
Fax: 256-761-3693
Email: Shaw.Kelly@AIDB.org
(Make Checks Payable to AIDB)
If you do not have internet access, a paper form may be used but it is your obligation to have someone enter it online at
www.AIDB.org/WOW