March 17th Kid's Day Out- Child Registration Form

Hosted by: IMPACT Autism @ UF, a student organization at the University of Florida
www.impactautismuf.org

Date: Saturday, March 17th, 2012
Time: 1 - 4 pm
Location: Westside Park, Gainesville (1001 Northwest 34th Street Gainesville, FL 32605)
Snacks and drinks will be provided, but feel free to send your child(ren) with snacks of their own. We will be having lots of themed crafts and games in the park as usual.

As always, all children of all ages are welcome to attend and enjoy games, arts and crafts, and the playground in a two volunteer per child ratio.

*For safety, and to provide the best experience for each child, we are caping the event, so please reserve your child's spot today. Spots will fill up fast!! IMPACT Autism will contact you to confirm your child's spot.

Directions: Please complete the form below to help us better serve you and your child(ren).
Please note that any information provided on this form will be kept confidential to the extent provided by law and will only by used by IMPACT during the Kid's Day Out event.


This event is free but IMPACT Autism kindly accepts a suggested donation of $20 per family that will allow us to host future Kid's Day Out events.

QUESTIONS: Please contact Ashley Giddings with any questions at impact.autism@gmail.com.

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