Autism Ice Breaker

Come Meet New People

If you are an autistic person between 18-35 years old living and would like to meet new friends, then this is for you! This program is currently only open to residents living within the Downriver Michigan communities listed on our About Us page.

One hour of socialization to ask fun questions to potential new friends. We will provide cards/questions for you to ask.

Note to Parent/Guardian:

Participants who drive themselves may come without a parent/guardian. All other parents/guardians must remain inside the building for the duration of the meeting. A parent/guardian area has been provided for you.

Autism Ice Breaker

Participant's Name(Required)

First Last

Participant's Date of Birth(Required)

Participant's Phone(Required)

Participant's Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact Email(Required)

Participant Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Digital Signature(Required)

I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature.

Today's Date(Required)