2026 Trivia Night Registration

The Trivia Night for Autism is a fundraiser and community autism awareness event. Grab friends, family and co-workers and join us for a fun night of trivia. Bring your own food and drinks, decorate your table, and dress up like your favorite pop icon. There will be a silent auction, raffles and a 50/50 drawing. Early bird $200 for a table of 10, $35 for a single ticket and $60 for couple. Increases after February 1 to $250 per table, $45 single and $70 for a couple. Pizza can be pre-ordered and raffle tickets can be purchased with registration.

Date: April 30, 2026 Doors open at 6 p.m. and Trivia Starts at 7 p.m.

Location: TBD

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Team Name

Number of Participants

Up to 10 people per table

Team Members

Rows	Name	Email Address
Participant 1
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6
Participant 7
Participant 8
Participant 9
Participant 10

Special Accommodations

Payment Method

Other

Signature

Terms and Conditions:

By submitting this form, I acknowledge that I have read and agree to abide by the rules and regulations of the Trivia Night event.
I understand that the registration fee is non-refundable.
I consent to the use of my information for event-related communication purposes.
I understand and consent to my photo be taken at this event that may be used for promotional purposes and I will advise the members of my team of the same.
I will provide the contact information of my team members via email prior to the event to info@freddiefordfamilyfoundation.org.

Date Signed

Date

Registration Type

Team Registration- Early Bird

Early Bird before February 1

$200.00

Individual - Early Bird

Registration for 1 person before February 1.

$25.00 Quantity

Couple - Early Bird

Registration for 2 before February 1.

$45.00 Quantity

Team Registration

February 1

$250.00

Individual

Registration for 1 person

$35.00 Quantity

Couple

Registration for 2.

$60.00 Quantity

50/50 Tickets - 3 for $1

Purchase 3 tickets for $1.

$1.00

50/50 Tickets - 10 for $5

Purchase 10 tickets for $5.

$5.00

50/50 Tickets - Arms Length for $20

Purchase an arms length of tickets for $20.

$20.00

Pepperoni Pizza

Pre-order a large pepperoni pizza.

$15.00 Quantity

Sausage Pizza

Pre-order a large cheese pizza.

$15.00 Quantity

Cheese Pizza

Pre-order a large cheese pizza.

$15.00 Quantity

Veggie Pizza

Pre-order a large veggie pizza.

$15.00 Quantity
Item subtotal:

Mulligans 3 for $10

3 mulligans for $10.

$10.00

Enter coupon

Total

Payment Methods

Credit Card

Cash App Pay

Trivia Night Registration

Participant Information:

Registration Type*

Payment Methods

Registration Type