The Social Connections program is for individuals on the autism spectrum ages 12 to mid 30’s and able to participate in activities without parents in a 7:1 setting (individuals to staff). Group is led by Jennifer Groce', an Intervention Specialist with many years of helping Autistic individuals thrive. Additional staff including a BCBA are also at events to support participants.

Group 1 - ages 12-17 years old
Group 2 – ages 18+

* Required Field *Name:
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*Email Address:	(to include you on future event mailings)
Are you planning on attending every month? Monthly attendance is highly recommended	Yes No Most Likely
I give permission and consent to allow photographs to be taken during Autism Society of Mahoning Valley activities. I further give permission and consent that any such photographs may be published and used by Autism Society of Mahoning Valley and its agents, to illustrate and promote its programming and fundraising efforts. Furthermore, I grant the Autism Society of Mahoning Valley, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize the Autism Society of Mahoning Valley, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Autism Society of Mahoning Valley may use such photographs of my family with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above: By Submitting this form, I am registering for the event and accepting the terms of this release form.