Interested in having your walk team featured on our social media platforms?
Fill out this quick form.

We are looking for dedicated teams who participate in our Walks to feature on our social media platforms to share why they walk. Share your #AutismSpeaksWalk story with us.

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* 1. Email address

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* 2. Name of submitter

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* 3. City

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* 4. State

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* 5. Team Name

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* 6. Which Autism Speaks Walk do you attend?

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* 7. Instagram Handle ex: @autismspeaks. If you do not have an Instagram, type N/A.

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* 8. Who do you walk for? Do you have a friend or loved one on the spectrum on your team? Are you someone who works with the community? Or are you an autistic advocate? Tell us who you walk for and why.

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* 9. Why do you walk? What motivates you and your team to fundraise for Autism Speaks and walk towards a more inclusive world?

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* 10. What part of our work is your team most passionate about? Employment initiatives, groundbreaking autism research, advocacy, early childhood screening, improving transition to adulthood, adult services, The Autism Response Team (ART), or something else? We want to know what makes you passionate about Autism Speaks.

Not sure? Learn more about what we do at: https://www.autismspeaks.org/our-work.

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* 11. Please upload as many of your favorite photos of your team at past #AutismSpeaksWalk events. The more photos the better! Have a video instead of a photo? Email it to socialmedia@autismspeaks.org. Be sure to include your name and Instagram handle in the email for reference.

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* 12. Optional additional photo

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* 13. Optional additional photo

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* 14. Optional additional photo

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* 15. Optional additional photo

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* 16. Optional additional photo

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* 17. Would be interested in sharing your story for other possible media opportunities?

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* 18. By checking the box below, I give Autism Speaks permission to share the story and images provided in this form on their website and/or social media platforms. Autism Speaks will not share any information or images in advertisements without further permission.

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