Table Talk At The Tommy Nobis Center

Get ready to meet and mingle with like-minded young adults 18+ on the spectrum. A great opportunity to be social and make new friends, or possibly find love as you move from table to table to get to know new people. Space is limited. Brought to you by Life With the Spectrum with Gina Kavali on YouTube and Spectrum Autism Support Group.

Table Talk At The Tommy Nobis Center Registration - Male

(Maximum registrations 8 - No refunds for cancellations)

Participant Name*
First Last
Age*
Do You Require A Gluten Free Option?*
- Yes
- No
Participant's Phone*
City from
Please list your Email Address:*
Emergency Contact*
First Last
Emergency Contact Phone*
*After the event, we would like to follow up with you to find out how your experience was. Your input is extremely important and will help us plan future events. We would also like to provide names and phone numbers of individuals that you meet at Table talk that share common interests with you. Is it okay to share your phone number with another individual that you matched well with at Table Talk?
*After the event, we would like to follow up with you to find out how your experience was. Your input is extremely important and will help us plan future events. We would also like to provide names and phone numbers of individuals that you meet at Table talk that share common interests with you. Is it okay to share your phone number with another individual that you matched well with at Table Talk?
- Yes
By registering for this event I acknowledge that Spectrum Autism Support Group, Inc (Spectrum) and Gkasts has the right to photograph, videotape, and/or create other audiovisual materials of my participation in activities of Spectrum’s program Table Talk, and that Spectrum and Gkasts has the royalty-free rights to use the Audio-Visual Materials of me in public relations, marketing and promotional activities and materials in any medium whatsoever including, but not limited to, videotapes, pamphlets, and brochures including use in print, radio, television, social media and the internet.
By registering for this event I acknowledge that Spectrum Autism Support Group, Inc (Spectrum) and Gkasts has the right to photograph, videotape, and/or create other audiovisual materials of my participation in activities of Spectrum’s program Table Talk, and that Spectrum and Gkasts has the royalty-free rights to use the Audio-Visual Materials of me in public relations, marketing and promotional activities and materials in any medium whatsoever including, but not limited to, videotapes, pamphlets, and brochures including use in print, radio, television, social media and the internet.
- Yes

Table Talk At The Tommy Nobis Center Registration - Female

(Maximum registrations 8 - No refunds for cancellations)

Participant Name*
First Last
Age*
Do You Require A Gluten Free Option?*
- Yes
- No
Participant's Phone*
City from
Please list your Email Address:*
Emergency Contact*
First Last
Emergency Contact Phone*
*After the event, we would like to follow up with you to find out how your experience was. Your input is extremely important and will help us plan future events. We would also like to provide names and phone numbers of individuals that you meet at Table talk that share common interests with you. Is it okay to share your phone number with another individual that you matched well with at Table Talk?
*After the event, we would like to follow up with you to find out how your experience was. Your input is extremely important and will help us plan future events. We would also like to provide names and phone numbers of individuals that you meet at Table talk that share common interests with you. Is it okay to share your phone number with another individual that you matched well with at Table Talk?
- Yes
By registering for this event I acknowledge that Spectrum Autism Support Group, Inc (Spectrum) and Gkasts has the right to photograph, videotape, and/or create other audiovisual materials of my participation in activities of Spectrum’s program Table Talk, and that Spectrum and Gkasts has the royalty-free rights to use the Audio-Visual Materials of me in public relations, marketing and promotional activities and materials in any medium whatsoever including, but not limited to, videotapes, pamphlets, and brochures including use in print, radio, television, social media and the internet.
By registering for this event I acknowledge that Spectrum Autism Support Group, Inc (Spectrum) and Gkasts has the right to photograph, videotape, and/or create other audiovisual materials of my participation in activities of Spectrum’s program Table Talk, and that Spectrum and Gkasts has the royalty-free rights to use the Audio-Visual Materials of me in public relations, marketing and promotional activities and materials in any medium whatsoever including, but not limited to, videotapes, pamphlets, and brochures including use in print, radio, television, social media and the internet.
- Yes