Walk for Autism – iDonate Event Registration

Name(Required)

First Name Last Name

Email Address(Required)

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Contact Number

Address(Required)

Address Line 1 Town County Eircode Country

Walk Participation Type(Required)

I want to join a Flagship Location (Malahide Castle or Lough Key Forest Park) - The AsIAm team will be here on the day with information stands and some family fun!

I want to host my own walk in my local town

I want to join a walk hosted by someone in my local town

Select Location(Required)

Town/City of Walk(Required)

Would you like AsIAm to list your walk on our interactive map for others to join?(Required)

Yes

No

Town/City I'd like to join a walk in

How did you hear about the Same Chance Walk?

AsIAm Website

Social Media

Friend/Family

School/Workplace

Other

I agree to receive event updates via email(Required)

Yes

No

I agree to my information being stored and used in accordance to AsIAm’s data privacy policy and iDonate’s privacy policy.(Required)

I agree

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Disclaimer(Required)

I Agree

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Registration Type

Additional Child Ticket Quantity

Price: € 5.00

Quantity

Total

Credit Card

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Joined Team Name