SPRINGING To Action for the Biennial Conference

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Name*
First Last
Contact Information*
If you need to update your contact information or submit for the first time, please select "yes" and complete the form. If not, please select "no" and we will use the information that we have on file.
- Yes, I need to update or submit for the first time.
- No, my contact information has not changed.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Membership Status*
- ARID Member
- Non Member of ARID
- Student
- Interpreter
- Deaf Community Member
- Other
Rules and agreement*
1. Participant must walk a minimum of 30 minutes per entry. 2. Participants must check in and out with the Chair or Co-Chair of the Biennial Conference. ARID is not responsible for any injuries that occur from this walking event. Participants must walk at their own risk By Clicking the button below you agree to the Rules and agreement.
- I agree
Payment*
Ordering and payment will be completed on the Square site after you hit submit.
- I Understand

For additional donations please click the following Link.

Email Us or Call Us (Google Voice) (501) 594-3793

P.O. Box 46511
Little Rock, Arkansas 72214-6511

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