The C.A.R.E Project Registration
Email
*
example@example.com
Please input your information
*
First name
Last name
Please list your county
*
I'm attending as:
*
Family/Caregiver
Self Advocate
First Responder
Community Member
Service Provider/Vendor
How many people will attend?
*
Does any individuals in attendance have autism or an intellectual disability?
*
Yes or No
What are you most interested in learning about?
*
Autism awareness
Safety planning
First responder interactions
Community resources
Sensory supports
Other
How did you hear about this event?
*
SHINE Newsletter
Facebook
Instagram
School
Therapist/Provider
Friend/Family
First Responder Agency
Other
Would you be interested in volunteering with SHINE in the future?
*
Yes
No
Permissions
I understand this is a free community event. I understand that photos and videos may be taken during the event for SHINE promotional purposes. I would like to receive future updates from SHINE.
Liability Statement
By attending this event, I acknowledge that participation is voluntary and agree to hold SHINE harmless for ordinary risks associated with participation.
Would you consider donating to SHINE? Your support helps us sustain programs like this one!
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