The Spectrum Connection

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Please fill out this form to learn more about how to join The Spectrum Connection: A Community Group for LGBTQIA+ Autistic adults in Middle TN. You will receive a reply from leah@autismtn.org within 10 business days of submitting this form.

*PLEASE CHECK YOUR SPAM FOLDER if you do not receive a reply within 10 business days.

Email *

First name, last name, and preferred pronouns *

Are you part of the LGBTQIA+ community? *

Yes

Unsure

Other:

Are you Autistic (either professionally, or self-identified)? *

Yes

Unsure

Other:

What racial or ethnic groups best describe you? *

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Prefer not to answer

Other:

Required

Date of birth *

YYYY

City and state of residence *

How did you hear about The Spectrum Connection? *

Tell us more about why you are interested in joining this group. *

If you will be attending in person meetups, please list an emergency contact name and phone number. *

What questions do you have about The Spectrum Connection?

Send me a copy of my responses.

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This form was created inside of Autism Tennessee.