Autistic ADHD Empowerment Waitlist Registration
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Email *
First Name *
Last Name *
Email address *
Which of the below best describes you? *
Required
Why are you interested in becoming an Autistic Empowerment Warrior? *
How did you hear about Annie Crowe's program? *
Which Warrior Group are you hoping for? *
Required
What are your main neuroaccessibility goals as an Autistic and/or ADHD individual? Or the needs of someone you support (carers/providers)? *
What are the areas that you (or your young adult/client) most need accessibility and advocacy support in? *
Required
Which environment do you find the least neuroaccessible (meaning the most challenging and unaccommodating)? *
Required
What supports and services have you (or your neurodivergent client/child) already tried to increase your neuroaccessibility? *
Required
Any other comments or information you would like to share regarding Autistic Empowerment?
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