Nonprofit Inquiry Form
Girasol strives to be able to provide as many families with the opportunity to be able to be supported and have the necessary resources for their neurodivergent family needs. Please let us know how we can assist a family in need.
Organization Name
*
Organization Contact
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Type of need
*
Neurodiversity Name badge
Sensory equipment/toys
Sensory specific clothing
Sensory Bag (fidget items)
Backpack
Support group
Other
Please tell us how we can reach out or to whom needs assistance.
*
Submit
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