Participant Registration

Participant Name (required):

Parent's Name (if participant under 18):

Your Email (required):

Your Phone (required):

Your Address:

Participant's Age:

*Disclaimer: this event is anyone on the Autism spectrum.

Participant T-Shirt Size:

If participant is under 18, do you want to stay with participant or have a mentor escort them?

How did you hear about Camp Puzzle?

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