SENSORY SANTA

Sensory Santa with All 4 Autism

Sunday, December 16th

1:00 - 3:00 PM

Location: Central United Methodist Church
167 North Irby Street
Florence, SC 29501

Participant Information (ASD Child)

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Household / Adult Primary Contact

Relationship to child/children: *
 
If you would like to be added to our email list for updates on All 4 Autism events and services, check the box below: *

ASD Participants are invited to bring siblings. (Age 5-12) Please provide information below for each sibling that will be attending the event.

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Waiver of Liability: In consideration of my child's registration being accepted, I waive any and all claims for myself, my administrators, and my heirs against all officials, sponsors, and organizations (including All 4 Autism and Central United Methodist Church) for injury or illness that may directly or indirectly result from my child's participation in this event. I attest that I have full knowledge of the risks involved in this event, and my child is physically fit and sufficiently able to participate in this event. Photo Release: All 4 Autism and its authorized representatives have my permission to record on photography film and/or video, pictures of my child. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, or other printed materials used to promote All 4 Autism, and further that such use shall be without payment of fees, royalties, special credit or other compensation. *
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Please feel free to contact us at:
 
All 4 Autism
183 South Coit Street, Suite B
Florence, SC 29501
843-472-5215
info@all4autism.org
www.all4autism.org