Basketball League for Kids with Autism

Autism Family-Style (AFS)

Community & Support System for Minimally Verbal Children

A 501 (c)(3) Non-Profit Organization

Parent/Guardian Request

for AFS Basketball Program in Your Area!

(For San Leandro, California sign-up click here)

* Required fields
Name *
E-mail Address *
Phone Number #1
Phone Number #2
Street Address *
City *
State *
Zip Code
County
Child's Name *
Child's Verbal Status *	Non-verbal Minimal verbal skills Fully verbal
Child's Age
Number of participating siblings, if any
Comments
Are you able to volunteer to assist in program set-up? *	Yes No
How Did You Find Out About Us? *

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