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1.
Your Name:
(Required.)
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2.
I am a:
(Required.)
Parent/Guardian
Teacher/School Administrator
Service Provider
Volunteer
Adult with ASD
Tennis Pro
Other (please specify)
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3.
Your email:
(Required.)
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4.
Your Location (City & State):
(Required.)
5.
If applicable, what Program Location(s) are you interested in?
See
website
for locations map/list
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6.
Tell us more about you/your interest!
(Required.)
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7.
How did you hear about ACEing Autism?
(Required.)
Website
Social Media
Word of Mouth
Flyer
Autism Event
School or Organization
Other (please specify)