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Additional information

Neurodivergent Child(ren)

Birthdate of neurodivergent child:

Please provide any relevant medical or special needs information.

Allergies?

Parents/Caregivers:

Parent/Caregiver Occupation

Neurotypical Sibling(s) Who Might Attend Meetups:

Preferred Contact Method:

Photo Release on File?

Number in Party

Number of children that will attend:

Please indicate when you are typically available to volunteer.

Which types of volunteer roles are you most interested in?

Any relevant experience? Example: child care, special needs, event planning

Are you comfortable working directly with kids, or prefer behind-the-scenes roles?

Why do you want to volunteer with Embrace Abilities?

Do you have reliable transportation to attend events?

Yes

Emergency Contact Name

Emergency Contact Number