Autistic Community Summit Registration

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Registration

Are you registering to attend in person or virtually?*

In-person
Virtually

If there are any accommodations you need beyond what is listed at the link below, please list them below. Accommodations must be requested 2 weeks before the event, or we cannot guarantee that we will be able to provide them.

View the current accommodations here: https://ausm.org/wp-content/uploads/2025/09/Summit-Accessibility-2025-1.pdf

Lunch is not included in the ticket price for this event. You can bring your own food, or purchase lunch on your own.*

I would like to add on a box lunch
I do not want a box lunch

If you are applying for a scholarship to cover the cost of Summit, please know that AuSM cannot use scholarships to pay for box lunches.

Box lunches will be from Jersey Mike's. Please select your box lunch option. All box lunches come with chips and a cookie.*

Provolone, Ham, and Cappacuolo
Provolone & Turkey
Club Sub (Turkey, ham, provolone, bacon & mayo)
Chicken Salad Sub
Veggie (Swiss, provolone & green bell pepper)

Would you like gluten free bread for an additional $2?*

Yes
No

Payment

Please check with your county case manager to learn if your select class can be paid for under the Community Access for Disability Inclusion (CADI); Brain Injury (BI); Community Alternative Care (CAC); Consumer Support Grant (CSG); Family Support Grant (FSG); or Developmental Disability (DD) waivers. By registering for an AuSM class, you agree to pay in full any amount not covered by the third party payer. Scholarship requests are now closed.

Total

$0.00

I would like to apply for a scholarship.*

Yes
No

Please select your payment type*

Pay now by credit card
Share third party payer information to be invoiced

Donating to AuSM helps support programs like this. If you'd like to make a donation, enter the amount here.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Scholarship Application

The following questions will help AuSM determine your eligibility for a scholarship to attend this event. The information you provide will guide our decision-making process. Scholarship applications will close on October 24, and an AuSM staff member will contact you shortly afterward with next steps.

Are you an AuSM member?*

Yes
No

AuSM aims to make its programs accessible to underserved groups. In order to help us meet this goal, please share the groups to which you identify (as you are comfortable).

I am an autistic adult.
I am part of a racial minority.
I am LGBTQIA.
I have a disability other than autism.
I live in a rural area.
Other

If other, please specify.

If you have a circumstance you would like AuSM to take into account in this scholarship consideration, please explain below.

Have you received financial assistance to participate in AuSM programs this year?*

Yes, an AuSM scholarship
Yes, third-party assistance
No

Third Party Payment

By completing this form, you agree to pay in full any amount not covered by the Third Party Payer.

Third Party Payer Organization Name*

Third Party Payer Contact Name*

First Last

Third Party Payer Email*

Third Party Payer Phone*

Autistic Community Summit Registration

Register for the 2025 Autistic Community Summit

Payment

Scholarship Application

Third Party Payment