Quad F Participant Interest Form

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Quad F is a social group for adults with autism or other communication disorders who may have difficulty with social interactions. Quad F is dedicated to building friendships, motivating and supporting each other, promoting fitness and community engagement and having fun together. During program sessions participants have the opportunity to participate in community activities such as dining out, bowling, sporting events, and music in the park as well as activities at the YMCA such as swimming, fitness classes and using the wellness center. Quad F is made possible through the financial support of the David and Donna Griffin Foundation.

Location or Locations Participant would like to attend

Ragsdale

Spears

Both

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Participant's First Name
*

Participant's Last Name *

Participant's Gender *

Male

Female

Participant's Age *

Participant's Date of Birth *

YYYY

Participant's YMCA Membership Status *

YMCA Member

Community Guest

Participant's Address *

City *

Zip Code *

Participant's Email
*

Best email to contact you.
*

Best phone number to contact you. *

What is the participant's t-shirt size? *

XXL

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