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Young Adults Enrollment Form
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Young Adults Enrollment Form
Young Adults Annual Enrollment
Parent One Name
(Required)
First
Last
Parent One Email
(Required)
Parent One Phone
(Required)
Parent Two Name
First
Last
Parent Two Email
Parent Two Phone
Address
(Required)
Street Address
Address Line 2
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Child Name
(Required)
First
Last
Attend School?
(Required)
Yes
No
Name of School
(Required)
School Supports
(Required)
IEP
504
none
Communication
(Required)
Verbal
Non-verbal
Do they use an AAC for communication?
(Required)
Yes
No
Toileting
(Required)
Independent
Needs Assistance
Diapers
Can they read?
(Required)
Yes
No
Do they have a job?
(Required)
Yes
No
Do they drive?
(Required)
Yes
No
Do they have a phone?
(Required)
Yes
No
Do they know their home address phone number?
(Required)
Yes
No
Can they shop, make purchases independently?
(Required)
Yes
No
Can they order off a menu?
(Required)
Yes
No
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Expand
Autism Friendly Providers
Financial Resources
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Things That Work
Donations
Events
Fundraisers
Toggle child menu
Expand
Annual Charity Auction April 13th
Annual Golf Scramble July 21st
Forms
Toggle child menu
Expand
Consideration for an outing
Autism Ice Breaker
Autism Optimism
Young Adults Enrollment Form
Community Service Application
Donations
Volunteer
911READY Resources
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