Autism Foundation Services Sign Up Form
First Name
Last Name
Phone
Email
City
State
Names and Ages of those with Autism
If filling out the form for yourself just enter your name and age.
How many people are in your household?
Please include yourself.
REQUIRED: Upload documentation to show proof of autism
Browse
If unable to provide documentation please email us at contact@autism-foundation.org so we can help.
I VERIFY THAT I HAVE ADDED MY AUTISM PROOF AND FAILURE TO DO SO WILL RESULT IN NOT BEING APPROVED.