Registration Form - Centre on Philanthropy
Please complete this Autism Rocks Socks Registration Form and Email to [email protected].
COMPANY/SCHOOL NAME: ADDRESS: CONTACT NAME:
CONTACT #2 NAME:
PHONE:
PHONE:
EMAIL:
EMAIL:
NUMBER OF PEOPLE PARTICIPATING: I will need #
Autism Awareness Ribbon Stickers to give out to participants.
Please deliver stickers to __________________________________. Stickers will be delivered the week of April 18th, 2016 PRINT NAME
Yes, my school would like Mini Flyers to send home with our students. I will need #_____________________ Mini Flyers. (Mini Flyers will be delivered the week of April 4th)
Name:
Signature:
Date:
Thank you for participating in Autism Rocks Socks. Your participation will help Tomorrow’s Voices continue to provide therapeutic services to those touched by Autism and other Developmental Disabilities in the community. Please take lots of pictures of your staff or students during the day and email them to [email protected]. We will be uploading pictures to our Website, Instagram and Face Book page.
For additional information on Autism Rocks Socks or Tomorrow’s Voices email [email protected] or contact Thea Furbert at 537-5922.
www.tomorrowsvoices.bm 27 KING STREET, HAMILTON HM 19 ~ TEL: 297-4342 ~ EMAIL: [email protected] ~ WEB: WWW.TOMORROWSVOICES.BM
COMPANY/SCHOOL NAME: ADDRESS: CONTACT NAME:
CONTACT #2 NAME:
PHONE:
PHONE:
EMAIL:
EMAIL:
NUMBER OF PEOPLE PARTICIPATING: I will need #
Autism Awareness Ribbon Stickers to give out to participants.
Please deliver stickers to __________________________________. Stickers will be delivered the week of April 18th, 2016 PRINT NAME
Yes, my school would like Mini Flyers to send home with our students. I will need #_____________________ Mini Flyers. (Mini Flyers will be delivered the week of April 4th)
Name:
Signature:
Date:
Thank you for participating in Autism Rocks Socks. Your participation will help Tomorrow’s Voices continue to provide therapeutic services to those touched by Autism and other Developmental Disabilities in the community. Please take lots of pictures of your staff or students during the day and email them to [email protected]. We will be uploading pictures to our Website, Instagram and Face Book page.
For additional information on Autism Rocks Socks or Tomorrow’s Voices email [email protected] or contact Thea Furbert at 537-5922.
www.tomorrowsvoices.bm 27 KING STREET, HAMILTON HM 19 ~ TEL: 297-4342 ~ EMAIL: [email protected] ~ WEB: WWW.TOMORROWSVOICES.BM
