27th Annual Texas Autism Conference, August 1-2, 2019 Parent/Guardian Registration Waiver Application
Thank you for your interest in attending the 27th Annual Texas Autism Conference.

Limited waivers are available.

Upon approval, parent/guardian registration of ($125) will be waived. Travel expenses are NOT included.

One waiver per family will be considered.

Qualifications for Consideration:
* Child resides within Education Services Center-Region 2
* Parent/Guardian of a child with ASD
* Parent/Guardian who has not received previous waiver

Waivers will be awarded by mid June 2018. Deadline to submit is June 1, 2018.

Travels expenses are not included.
Child care will not be available.

I have read and acknowledged this information. *
Applicant's Name *
Your answer
Student's Name *
Your answer
Attending School District within Region 2 *
Your answer
Applicant's Address *
Your answer
Applicant's Phone Number *
Your answer
Applicant's Email Address *
Your answer
Student"s Current Grade Level *
As the applicant, how are you related to the child with ASD? *
Your answer
Year child diagnosed with autism spectrum disorder? *
Your answer
Child's current age? *
Your answer
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