Expression of Interest: Teen Girls Social Outing
Share your details and availability to join the social outing.
Please note this group is for teen girls with level 1/ High functioning autism/ Asperger's and are verbal to build their social skills, Parents are required to drop off and collect the participants
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Min age 12 max age 18
Participant's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Your location ie county/ Dublin 1/2 etc
What activities would you be interested in attending?
*
Pottery
Bowling
Music
Beaches
Wildlife
Theatre or play
Movie Day
Nails and makeup
Art/ Painting
Yoga/ mindfullness
Confirm level of diagnosis (evidence of diagnosis may be required)
*
Level 1 / Aspergers/ high function autism
Other Activities and Interests
Tell us about any other activities or interests you'd like to share.
Other activities and interests
Share any additional activities, hobbies, or interests.
Submit Expression of Interest
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