Table Talk Girls Day Out

Space is limited for 16 participants

Brought to you by Life With the Spectrum with Gina Kavali on YouTube and Spectrum Autism Support Group.

Next Event

SATURDAY, June 15, 2024
11AM - 1PM
Spectrum Autism Support Center, 2997 Main St.
DULUTH, GA 30096

Table Talk Girls Day Out Registration

(Maximum registrations 16 - No refunds for cancellations)

Participant Name*
First Last
Participants Age
Parent Name*
First Last
Phone
Please list your Email Address:*
Emergency Contact
First Last
Emergency Contact Phone
Gluten Free?
- Yes
- No
List Any Other Dietary Restriction
Table Talk Registration
Price:
*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
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.
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