Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Women's Neurodiverse Growth Group
In order to join our virtual/Zoom group, please complete the following questions!
ALL information is confidential.
Order the book here:
https://read.amazon.com/kp/embed?asin=B00ICS8MFM&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_HPK3BY5CZYJ35HFYT1EE
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name
*
Your answer
Cell Phone Number
*
Your answer
Email address
*
Your answer
Church Fellowship (if applicable)
*
Your answer
Emergency Contact's First and Last Name
*
Your answer
Emergency Contact's Cell Phone Number
*
Your answer
Is husband's Autism Spectrum Disorder (ASD) diagnosed or suspected
*
Your answer
Order your book today!! Zoom discussion group will begin on Thursday, March 24th or Saturday, March 26th!! Complete the poll below letting us know your best day for group meetings. Information can also be found at:
www.cresendajones.com/neurodiversity-group
Meeting Dates Available?
*
I am available on either Thursday nights or Saturday mornings
Thursdays beginning March 24th @ 8:00 PM EST
Saturdays beginning March 26th @ 10 AM EST
Required
Link to purchase "The Other Side of Asperger Syndrome"
https://read.amazon.com/kp/embed?asin=B00ICS8MFM&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_HPK3BY5CZYJ35HFYT1EE
Request to join Facebook group here!!!
https://www.facebook.com/groups/548944702855125
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
