*Disclaimer*: The information you are filling out is strictly confidential and information will be used for grant funding purposes only. All programs offered by the Autism Society of Colorado are usually free or at a discounted rate due to funding received by organizations and sponsorships.

You do not have to live in the state of Colorado to attend support groups. However, we do ask participants to live in the United States. If you are needing support groups in your state or country, please reach out to our program director at program@autismcolorado.org.

Once registration is filled out, participant will receive a Zoom notification that you've been registered for the groups you've selected.

If you have any questions, comments, or concerns, please email program@autismcolorado.org.

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* 1. First Name: What is your first name?

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* 2. Last Name: What is your last name?

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* 3. Gender: How do you identify?

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* 4. Race/Ethnicity: Which race or ethnicity best describes you? (Please choose only one.)

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* 5. Age: What is your age group?

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* 6. Location: Are you currently in the state of Colorado?

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* 7. Location: What is your current city?

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* 8. Location: Please provide the zip code you live in? (5 digit zip code)

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* 9. Contact: Please provide a valid email address to be contacted for registration via zoom, reminders, and updates on support groups. This is how you will be able to join via zoom and receive updates.

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* 10. Please select one of the following:

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* 11. Which support groups are you interested in participating in? (Please select your TOP TWO groups you would like to join)

1. Tuesday Adults Group- This group is specifically for any adults with autism that prefer Tuesdays (neurotypicals cannot join group).
2. Wednesday Adults Group- This group is specifically for any adults with autism that prefer Wednesdays (neurotypicals cannot join group).
3. Autistic LGBTQ+ Adults- This group is specifically for adults with autism on the LGBTQ+ spectrum (neurotypicals cannot join group).
4. Autistic Women Adults- This group is for specifically for autistic women and autistic individuals who identify as women (neurotypicals cannot join group).
5. Parents of ASD Children- This group is for parents or caretakers who are guardians of autistic children.
6. Parents with Autistic Adults- This group is for parents or caretakers who are guardians of autistic adults or are transitioning to adulthood
7. Parents with 2E (Twice Exceptional) Children- This group is for parents or caretakers who are guardians of 2E autistic children.
8. Neurotypical Spouses/Partners/Friends with ASD Spouses/Partners/Friends- This group is for partners or individuals who are neurotypical but are spouses, partners, dating or friends with autistic individuals (autism or neurodiverse individuals cannot join group).

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* 12. OPTIONAL: Is there anything you would like to share with the ASC facilitator that would help in support groups? (For example: anxiety, newly diagnosed, struggling socially, need resources, finding a community, etc.) 

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* 13. OPTIONAL: What information or topic(s) you are wanting to discuss or interested in finding? 

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* 14. INCENTIVE SURVEYS: Please select if you would like to participate in feedback and evaluation surveys for the Autism Society of Colorado's Support Groups. (Please note this is for grant data purposes only. Some surveys may have incentives depending on organization and funding that you'll receive via email)

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