SCHOLARSHIP APPLICATION

Name: Adult Neurodiverse Connections Group (18+) (DDA Services eligible, not required, if you qualify)
Start: 2025-07-26T15:00:00-07:00
Location: Borst Park Picnic Shelter #1

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

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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.

Adult Neurodiverse Connections Group (18+) (DDA Services eligible, not required, if you qualify)

Sat, Jul 26

Borst Park Picnic Shelter #1

Adult Neurodiverse Connections Group (18+) (DDA Services eligible, not required, if you qualify)

Summer Potluck Picnic at Borst Park

Registration is closed

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Time & Location

Jul 26, 2025, 3:00 PM

Borst Park Picnic Shelter #1, 2020 Borst Ave, Centralia, WA 98531, USA

About the Event

🌼 You're Invited to a Summer Potluck Picnic! 🌼

Join us for a delightful day of sunshine, laughter, and delicious food at this month's Adult Neurodiverse Connections Group meetup! This is a perfect opportunity to connect with friends, enjoy nature, and share your favorite dishes.

Details:

Date: Saturday, July 26th
Time: 3-5pm
Location: Borst Park Picnic Shelter #1, in the south loop of Borst Park, across the road from Borst Lake

What to Bring:

Your favorite dish to share (homemade or store-bought!)
A comfortable blanket or chair to sit on
Any games or activities you enjoy
Your wonderful self!

Why Join Us?

Celebrate our unique perspectives and experiences
Share delicious food and recipes
Enjoy a relaxed atmosphere with like-minded individuals
Make new friends and strengthen our community

RSVP:

Please let us know if you can make it. You can reply to this invite or contact Erin Baker, erin@lcautism.org.

We can't wait to see you there and taste all the amazing dishes you bring! 🌈🥗

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