Together we can solve the puzzle

South Carolina Autism Society

Workshop Registration Form

* All Fields Required.
Return to SCAS Home
* Your Name
* Your Address 1
Your Address 2
* Your City    * State       * Zip Code   
* Phone Please include area code.
* Your E-mail (Changes will be sent by email.)

Are you a:

YES

NO

 |

 

YES

NO

Select Sessions You Wish to Attend:

Select Workshop

Session Name

Location

Date

No Refunds
After Date

Fee Includes
Lunch:

Registration
Fee

* Cancellation fee ( if cancelled before refunds date above) $10/session
** Cancellation fee ( if cancelled before refunds date above) $20/session

A limited number of Scholarships for PARENTS are available at no cost for some workshops. Early requests are strongly recommended. Scholarship requests also can be faxed (print this form including pertinent information and fax it to 803-750-8121).