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Kickstart Donation

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Personal Details

First Name *

Last Name *

Email Address *

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Phone *

Year of Birth *

Gender *

Who are you walking for? *

Note: This information will appear on your public fundraising page.

Aspect Schools

Are you linked to an Aspect school?

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Postal Address

When you raise $100 in support of your school, you'll earn your own Walk for Autism t-shirt

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Town/Suburb *

Postcode *

State *

Country *

About You

How many years have you participated in Walk for Autism? *

What is your T-shirt Size? *

See size chart

Your t-shirt size *

Need extra merchandise for family members?
Extra items can be purchased in our Walk for Autism shop.

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