Walker Registration Form

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Walk Around the World

Be a WALKER

If you want to join a walk, check the website and see where a Walk will be taking place near you. A 5K walk usually takes about 1 to 1 1/2 hours to complete, depending on the number of people and the path chosen.

Walker Registration Form

Thank you so much for taking the time to register to join us for Walk Around the World.

Please fill out the form below to register for the walk!

Your Team Leader will be in touch with you shortly.

First Name:*		Last Name:*
Walk Location:* If you don’t see a walk in your area, please do register. Select ‘Stay in Touch’ as your location and we will let you know as soon as a walk is scheduled in your area!
		Goal:
		$100 $200 $
E-Mail Address:*		Shirt Size: S M L XL
Address:*		Address2:
City:*		State/Province:
Zip/Postal Code:*		Country:*
		Phone:
		Best time to call: Morning Noon Night

*=Required

The Autism Treatment Center of America is a division of The Option
Institute, a non-profit, tax-exempt, charitable organization. All
donations are tax deductible under Section 501(c)(3) of the Internal
Revenue Code.