This free survey is powered by
0%
Exit Survey
 
 
Online Registration for the Humboldt County Autism Awareness Run/Walk, a Eureka High School EAST class event.
 
 
 
* Name of participant
   
 
 
 
* Cell phone number
   
 
 
 
* Email address
   
 
 
 
Age if under 18
   
 
 
 
* T-shirt size (unisex)
 
Send the $15 per person registration fee to: EAST Autism Walk, Eureka High School, 1915 J Street, Eureka, CA 95501 by March 24, 2017.
For more information, contact Kaileigh Klammers at FAAN at [email protected] or Jamie Bush at Eureka High at [email protected]