tnautism.org

Sexuality & ASD

Hosted by ASMT Education Committee
An ASMT Workshop, "Sexuality & ASD" presented by Bev Adcock & Dr. Amy Weeks, will be held at the Vanderbilt Kennedy Center, Room 241. This event is free to ASMT members; non-members pay $5 at the door. Childcare is available upon request.
Date & Time:	Thursday, 28 October 2010, 6:30 PM — 8:30 PM
Registration Deadline:	Tuesday, 26 October 2010

Full Name: *
Email: *
Number of adults: *
Additional Adults Name:
Address: *
City: *
State and Zip Code: *
County: *
Phone Number: *
Age of Individual w/ ASD:
Diagnosis:	Autism Asperger Syndrome PDD-NOS Fragile X Rett Syndrome Other Not Applicable
Childcare Required?:	No Yes, for 1 child Yes, for 2 children Yes for 3 or more children
If childcare required, please give details.:	name, age, diagnosis, verbal, aggressive, runner?
Other comments or questions?:

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