PARKING DO NOT USE MAIN GATE Use Parsonage Street entrance. Travel south, past main gate, to Platt Avenue. It is south of the fairgrounds’ chain- link fence. If you’re traveling south on Rte.9 it’s the first left after the Northern Dutchess Hospital; if you’re traveling north on Rte. 9, it’s the right turn after the spa. Stay on Platt Ave, all the way to the end. Make a LEFT onto Parsonage Street. Go 250 feet to the fairgrounds. At the stop sign make the LEFT turn. Note: From Route 9, Parsonage Street is only 2 blocks VENDORS: Please review our guidelines which are posted on our website www.autismwalkhv.org. Tables and chairs will be provided, please do not bring your own. SAVE THE DATE NO PETS, PLEASE! NO BICYCLES, SCOOTERS, ROLLERBLADES, SKATEBOARDS, ETC. CHILDREN UNDER 12, AS WELL AS INDIVIDUALS WITH DISABILITIES, MUST BE ACCOMPANIED BY AN ADULT AT ALL TIMES. PRE-REGISTRATION FORM Please Print Name Address City State Zip Phone Please feel free to copy and distribute the form Pre-Registration forms MUST BE POSTMARKED NO LATER THAN April 12, 2016! Or bring it with you to the event. Waiver and Release of Liability : I hereby waive all claims against Hudson Valley Autism Soci- ety (HVAS)/Autism Expo, sponsors, and personnel, or any volunteers for any injury I may suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photographs of me and quotations from me in legitimate accounts and promotions of this event. Signature (Parent or Guardian must sign if walker is under 18 years old) My employer has a MATCHING GIFT program: Yes No Phone_________________________________________ Email _________________________________________ I will be walking as a member of ____________team or ___as an individual Please make checks or money orders payable to: Hudson Valley Autism Awareness 1E Surrey Lane Wappingers Falls, NY 12590 2016 SPONSORS To become a member of our chapter go to: www.autismsociety.org/chapter512 FOR SAFETY PURPOSES: March 25, 2016 Vine Van Gogh - Sip & Paint Port Ewen Firehouse HQ tickets: vinevangogh.com April 16, 2016 Lift for Autism 4 - Hudson Valley Strength Pop's Pavilion - Wallkill, NY Call Nick Engels 845-750-0146 May 12, 2016 Autism Insurance Workshop Northern Dutchess Hospital call ASA-HV: 845-331-2626 May 14, 2016 Autism Tomorrow Conference Author Ron Suskind - "Life Animated" Anderson Center for Autism Campus register: www.andersoncenterforautism.org/ autismtomorrow July 15, 2016 Hudson Valley Renegades Funderaiser Dutchess Stadium tickets online: GadesGroups.com PW: ASHV July 30, 2016 Insane 5K—Team Autism Dutchess County Fairgrounds Call: ASA-HV for more information 845-331-2626 Date To Be Determined Autism Family Fun Day Details to be distributed on Facebook & Website November 4, 2016 Sensory Smart Strategies for Real-Life Challenges Lindsey Biel - OTR/L Poughkeepsie Grand Hotel register at: adshelps.org Rhinebeck Fire Dept. The Walk & Expo takes place at the track area of the fairgrounds. It is a 1 - 2 mile walk on the track. Persons with Special Needs WAIVED Juniors (11-17) Children (10 & Under) Not-for-Profit Table For Profit Table Total Pledge & Registration FEE QTY TOTAL Adults $ 10 $ 5 WAIVED $60… if selling merchandise; $35 if “Info Only” $ 125 * Other Donations Cut and mail only this panel to pre-register NOW ACCEPTING PAYPAL DONATIONS AT: WWW.AUTISMWALKHV.ORG