5th Annual Southeast Adult Autism Symposium

When: Friday, July 23, 2021 & Saturday, July 24, 2021

Where: Virtually, via Zoom

Deadlines: Registration deadline is 12pm (noon) on July 22.

Registration Rate: $25 per attendee.

Fee Waivers: Waivers are available to those experiencing financial hardship. If you aren't able to cover the registration cost, contact Dave Buck at dave@chattanoogaautismcenter.org or call 423-531-6961, opt. 4. Only select the fee waiver option during registration if you have already contacted Dave and been approved.

Trouble registering? You can call the Chattanooga Autism Center and request to register and pay over the phone at 423-531-6961 opt 2 or opt 4.

Registrant Information

Name

First Name

Last Name

Verify Email

Phone

City/State

Where will you be tuning in from?

I am...

an autistic adult

parent/caregiver of an autistic adult

other relative of an autistic adult

a service provider or ASD professional

none of the above - I just want to learn about autism

Registration *	Quantity
$25 - per person
$0 - with waiver approval only (see instructions at top of form)

Optional Donation to the GCA Centre for Adult Autism

$20

$50

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Symposium Registration

5th Annual Southeast Adult Autism Symposium

Registrant Information