Music and ASD Reservation Form 2018
Hello! By giving us your name and email in the following form, you are RSVP'ing to our April Music and ASD Event !

Date: Sunday, April 22nd, 2018
Time: 1:00 PM-3:00PM
Location: The Staller Center (Music Building) at Stony Brook University (100 Nicholls Rd. Stony Brook, NY 11790)

Parents are required to attend this event with their children (i.e. no drop off permitted at this time)

This event is hosted & sponsored by the Social Competence & Treatment Lab, The Autism Awareness Club, The Department of Music at Stony Brook University and The Stony Brook University Staller Center for the Arts.

This is a FREE community event for those with Autism and their families.

This event will be an Autism friendly concert with accommodations to maximize comfort and accessibility for our guests.

First Name *
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Last Name *
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Institutional Affiliation
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Email Address *
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Phone Number
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Number of guest attending (including yourself) *
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Did you attend this event last year?
Special Needs/Restrictions
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