50% of survey complete.

* 1. Hey families!

AutismOklahoma receives amazing compliments from parents and students about our summer experiences, social groups and pre-employment opportunities. In 2014, we provided fun experiences for more than 250 children, teens and adults on the spectrum. Each year we serve more and more people, and yet, there are so many who haven't attended our programs.

Do you want to increase your chances of being informed about a new AutismOklahoma camp for music, animation, cooking, or Star Wars? Increase your chances by completing this form to 1) volunteer, get involved and have fun and 2) tell us about your child's interests!

This is our "Go-to" database when we recruit for new summer and social group experiences! You don't want to miss this!


* 2. If married, what is your spouse's contact information? (Optional)

* 3. When is your birth date?

Date of birth:
/
/

* 4. If married, when is your spouse's birth date? (Optional)

Date of birth:
/
/

* 5. Please enter the following information.

* 6. Email Address

Please provide the email you use for facebook or Twitter, if possible.

* 7. Would you like AutismOklahoma.org and PieceWalk.org to send you email notifications?

* 8. If married, would your spouse like AutismOklahoma.org and PieceWalk.org to send him or her email notifications?

* 9. Employer Info: Knowing your employer helps us to better work with community partners.

* 10. Extra Info: We offer great programs and resources because of our amazing volunteers and community partners!

We are an organization of families helping families. Your child's best chance of benefiting from AutismOklahoma programs occurs when you volunteer to help!

Are you interested in volunteering with AutismOklahoma.org or PieceWalk?

* 11. If married, is your spouse interested in volunteering with AutismOklahoma.org or PieceWalk? (Optional)

* 12. If you selected YES on Question 10, which volunteer opportunities are you further interested in?

* 13. If you selected YES on Question 11, what volunteer opportunities are your spouse interested in? (Optional)

* 14. Are you an active member of LifeChurch.tv?

While not affiliated with LifeChurch.tv, AO has a volunteer and community partnership in several locations.

* 15. If married, is your spouse an active member of LifeChurch.tv? (Optional)

While not affiliated with LifeChurch.tv, AO has a volunteer and community partnership in several locations.

T