Get your Free copy of Special Needs Living - SNL - Maryland - Frederick - Montgomery - Washington Counties
Thanks for taking the time to register to get the free monthly printed and mailed copy of Special Needs Living. We welcome individuals and families in the special needs community to share their stories to better impact the community. We strive to celebrate, impact, connect the special needs community together. Registration is open to all-comers who find value in the collaboration and benefits from being connected to a vibrant community where stories, trials and triumphs are highlighted alongside the latest trends in technology, sciences, innovations, upcoming special needs & local events and information that will be relevant to each of our lives. *Please note that this form is private, and your information will not be shared to any third party for marketing purposes. This form is exclusively used as a means of developing our distribution list for a monthly publication geared towards supporting the special needs community. We are committed to never share your details without your express consent. We will establish a distribution to Frederick - Montgomery - Washington Counties in Maryland. If your address falls outside of our distribution, you will still be registered to receive the free digital version of the monthly publication.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Are you a parent, caregiver, or special needs individual?
*
Yes I am a parent
Yes I am a caregiver
I am a special needs individual
NO
How are you connected to the special needs community? (Autism, Down Syndrome, Cerebral Palsy Etc.) Please share below
*
I would like this version of Special Needs Living (Note if outside these counties we will email the digital version)
Print
Digital
Both
Would you like to share your story in a future issue of Special Needs Living
Yes
Maybe later
not at this time
Would you be interested in being a contributor?
I would like to share my story
Photographer
Junior Writer
Writer/Editorialist
Content Provider
Business/support partner
Events Planning
Magazine Commitee Member
I have an idea/personal story to share
Do you have any resources that you have found helpful throughout your special needs journey that you would like others to know about? (Share Company Name, Contact Name, Email or Phone Below)
How did you hear about us
Submit
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