THE ARC SUSQUEHANNA VALLEY
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DREAM - Self Advocates
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AMPES
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Social & Recreation
Self Determination Award Winners 2005-2024
$5 movie
Does not include popcorn
or snack/drink purchase
November 5th 2019
AMC Classic Selinsgrove 12
Susquehanna Valley Mall
At 7pm
RSVP October 28th, 2019
If you need a van ride, meet at Sunbury Beiter's parking lot 6:20 p.m.
Movie Night
Fill out and submit this computer form or download our newsletter for paper forms.
$5.00
*
Indicates required field
Self Advocate Attending
*
First
Last
Email
*
Self Advocate Phone Number
*
County
*
Staff Attending
*
Staff Phone Number
*
Agency Represented
*
Type N/A if no staff
Guest(s) Attending
*
Guest Phone Number
*
Total Number Attending
*
Choose how you will get there... (Note: van seating is limited and is first-come first-served)
*
I need a ride
I will get there on my own
Please note: The Arc Van is NOT handicapped accessible.
By clicking submit for any of The Arc, Susquehanna Valley events, I grant its representatives and employees the right to take photographs of me and my property. I authorize this organization, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Arc, Susquehanna Valley may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertisement and web content
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Home
Support The Arc!
Arc Angels
Scrip Gift Cards
>
Pay for Gift Cards
Make A Donation
Shop Amazon
About
Board
>
Fundraising Volunteer Form
Membership
Events Calendar
Community Learning Institute
My Fish Friend
Contact
Programs & Services
DREAM - Self Advocates
At Work - Self Advocates
AMPES
STEP
Social & Recreation
Self Determination Award Winners 2005-2024