SCHOLARSHIP APPLICATION

Name: Grupo de Conexiones Neurodiversas para Adultos (18+)
Start: 2025-02-22T13:00:00-08:00
End: 2025-02-22T15:00:00-08:00
Location: Insertar moneda

We are happy that you have chosen to apply for a full or partial scholarship to attend our event!

We feel that no barrier should come between sharing the important information and experience that is this important information.

Please answer the following questions. Shortly following your submission, the Lewis County Autism Coalition will reach out to you

to discuss next steps.

Can't wait to meet you!

First name

Last name

Street Address (or) P.O. Box

City, State

Zip Code

Phone

Yes, subscribe me to your newsletter.

What is the name of the event you seek a scholarship for?

INTEREST IN THE EVENT: Why are you interested in participating? Please share about your family, your child's age(s), needs (Diagnosis if any, behaviors, challenges, concerns), or anything else you feel is important for us to know.

FINANCIAL NEED: Please describe your financial need for this scholarship?(Please limit your response to 150 words.)

Are you requesting a FULL or PARTIAL Scholarship? If you are able to contribute any portion of the admission cost, please include the dollar amount below.

Do you require any special accommodations (i.e., translator, seating, other) If no, write N/A. If yes, please describe.

Grupo de Conexiones Neurodiversas para Adultos (18+)

sáb, 22 feb

Insertar moneda

Grupo de Conexiones Neurodiversas para Adultos (18+)

¿Listo para mejorar tus conexiones sociales? ¡Únete a nosotros para una emocionante noche de diversión arcade retro y moderna en Insert Coin!

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Horario y ubicación

22 feb 2025, 13:00 – 15:00

Insertar moneda, 309 N Tower Ave, Centralia, WA 98531, EE. UU.

Acerca del evento

Nos reuniremos en Insert Coin para jugar y disfrutar de la camaradería. ¡Nos divertimos muchísimo la última vez que estuvimos aquí y estamos deseando repetir! Desde clásicos arcade hasta los últimos éxitos, hay algo para todos los gustos. ¡No te pierdas la oportunidad de conectar y divertirte en este ambiente vibrante!

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SCHOLARSHIP APPLICATION

Grupo de Conexiones Neurodiversas para Adultos (18+)

Horario y ubicación

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