Teen Membership Form

Impossible d'ouvrir ce fichier car JavaScript n'est pas activé dans votre navigateur. Activez-le, puis rechargez la page.

We're so glad that you are a part of Autistics United! Please let us know a little bit more about you. A caregiver, friend, helper or parent can help you fill this form out or complete it on your behalf. Do what works best for you! :)

Connectez-vous à Google pour enregistrer votre progression. En savoir plus

Adresse e-mail *

Full teen's name? *

Full parent/guardian's name? *

Teen's age? *

Teen's birthday? *

YYYY

Is your child formally diagnosed as being on the autism spectrum? (We welcome all people regardless of a diagnosis.) *

Yes

I'm self-diagnosed

Does your child have a preferred communication style? (check all that apply)

Verbal

Written

PECS (Picture Exchange Communication System)

Gesturing

Sign Language

Typing

AAC (Augmentative & Alternative Communication) Device (Dynavox, Proloquo2Go etc)

Autre :

What are your child's sensory triggers? What is their sensory profile? (check all that apply)

I'm triggered by Crowded Spaces

I'm triggered by Being Touched

I'm triggered by Loud Sounds

I'm triggered by Bright Lights

I'm triggered by Strong Smells

I am Sensory Seeking

I am Sensory Sensitive

I am Sensory Avoidant

I'm a Mixture of Things

I'm Not Sure

Autre :

Does your child have any emotional triggers or pet peeves that we should know about? (to make the group as safe and comfortable as possible) (it's okay if you don't know)

What would your child like to learn more about? (check all that apply)

AUTISM!

Using visual structure

Successful scheduling

Educational Advocacy

Understanding Behavior

Communicating More Effectively

Preventing Meltdowns

Self-Care

Adulting

Understanding Guardianship

Relationships

Workplace Advocacy

Coping Strategies

Friendship

Community

Learning to Relax

Acceptance

Activism & Advocacy

Any other thoughts, ideas, concerns?

Envoyer

Effacer le formulaire

N'envoyez jamais de mots de passe via Google Forms.

Ce contenu n'est ni rédigé, ni cautionné par Google. Signaler un cas d'utilisation abusive - Conditions d'utilisation - Règles de confidentialité

Forms