---

Dyslexia Dash: Chasing Santa Payment Portal

• Name*
  First Last
• Email*
• Address*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Phone*
• Participation Pictures*
  We would love to receive an image or two of you participating in Chasing Santa! Let us see your dyslexia awareness shirts and sport those medals! Your pictures may be used in promoting the 2023 Dyslexia Dash!
  • Yes
  • No
  • Maybe
• Consent
  I give permission to be featured in IDA Arizona social media and promotional media.
• Consent
  I give permission to be featured in IDA Arizona social media and promotional media.
• 2022 Dyslexia Dash Medal
  Price:
• Quantity
  123
• Total
  $0.00
• Comments or Questions
  If you are registering more than one person, please include their name and age.

Δ

---

Share this page with your friends…

---