Hussman Center for Adults with Autism Program Interest Indication Form

Hussman Center for Adults with Autism Program Interest Indication Form

First Name:

Last Name:

Email:

Programs will begin the Week of September 15th and End the Week of November 17th (unless otherwise noted on our program calendar which is found on our website).

How many programs would you like to participate in this semester?

123

Top Program Choice:

CraftsmanshipGarden ClubWork Possibilities(Monday)Work Possibilities(Friday)TriviaDance/YogaGamingCooking 1(Tuesday)Cooking 2(Thursday)Healthy RelationshipsArt ClubCooking with Chef MannyIntro to FItnessAdvanced FitnessPersonal NarrativesMens Activities ClubWomens ClubBalanced Minds: Anxiety Reduction for WorkImprov & ActingBaking:Desserts and More!Unified Sports- SoccerUnified Sports- Flag FootballPaint & SipCinema Crew

Second Program Choice:

Third Program Choice:

Selecting a program indicates that you are interested in attending that program.

Selecting a program does not guarantee program acceptance. You will be notified if there is space in the programs for you to attend.

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Contact Information