Sexual Health Education Workshops for Youth with Autism

Virtual Sexual Health Education Workshops for Youth with Autism (ages 13 to 22)
5:30 - 7:00 p.m.

2022 Youth Workshop Dates:
Thursday, February 17
Thursday, February 24
Thursday, March 3
Thursday, March 10

2022 Guardian Workshop Dates:
Thursday, February 24
Thursday, March 10

Giftcards for food provided.

Virtual via ZOOM
SVAP is hosting four interactive workshops for youth ages (13 to 22) with Autism that will discuss topics such as healthy relationships, caring for your body, sexual feelings, social media, etc.

Use this form to register both the youth that will be attending the workshops and the guardian(s).
Youth Registration Information
Youth Name *

First Name Last Name
Youth Age *
Youth E-mail *
Please be extra careful when entering your e-mail address. This will be used to send event information and confirmations
Youth Daytime Phone Number *
School Name/Agency/Organization *
Please enter your school name/organization here. Enter the complete name of your school/organization (please DO NOT abbreviate).
School Division *
Please enter your school division here. Enter the complete name of your school division (please DO NOT abbreviate).
Is the teen able to attend all four workshops (check off dates able to attend) *the sessions build off one another and it is best to attend all four sessions* *

Thursday, February 17, 2022 Thursday, February 24, 2022 Thursday, March 3, 2022 Thursday, March 10, 2022

Guardian Registration Information

Please be sure that all information submitted is accurate. This information will be used for event confirmation.
Guardian Name *

Guardian First Name Guardian Last Name
Guardian E-mail *
Please be extra careful when entering your e-mail address. This will be used to send event information and confirmations.
Guardian Daytime Phone Number *
Is the guardian able to attend both guardian workshops (check off dates able to attend) *

Thursday, February 24, 2022 Thursday, March 10, 2022
Will a second guardian be attending

yes no

Second Guardian Registration Information

Please be sure that all information submitted is accurate. This information will be used for event confirmation.
Second Guardian Name *

Second Guardian First Name Second Guardian Last Name
Second Guardian E-mail *
Please be extra careful when entering your e-mail address. This will be used to send event information and confirmations.
Second Guardian Daytime Phone Number *
Is the second guardian able to attend both guardian workshops (check off dates able to attend) *

Thursday, February 24, 2022 Thursday, March 10, 2022

Youth Registration Information