Register – National Autism Network

Type of Membership

Autistic Person
Family of Autistic Person
Professional and other person interested in Canada’s Autism Strategy
Organization

Name Of Organization

on Relationship Additional

Name of person completing form on behalf of organization

Nom complet

Prénom

Nom

Username

Nickname

Pronouns

Age

Communication par courriel

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to Autism

Autistic person
Non-Autistic person
Parent of an Autistic person
Family member of an Autistic person
Non-paid caregiver of an Autistic person
Foster Parent of an Autistic person
Legal Guardian of an Autistic person
Out of Care/Kinship Caregiver of an Autistic person

Other Identities

Additional Identities

Please tell us more about your identity

What is your area(s) of interest related to the National Autism Strategy?

Priority Area 1: Screening, diagnosis and services
Priority Area 2: Economic inclusion
Priority Area 3: Data collection, public health monitoring, and research
Priority Area 4: Public awareness, understanding and acceptance
Priority Area 5: Tools and Resources

Type of organization

Regional
National

About the organization:

Please provide a brief description of the work your organization does.

Website

If you have a website, please share the link with us.

Canada's Not-for-Profit Act requires the National Autism Network to collect member names, addresses, email addresses, and consent to receive information electronically.

I agree to receive emails from the National Autism Network.

By checking this box you are consenting to receive information electronically. You can withdraw your consent by cancelling your membership. All memberships expire on June 30th. To cancel your membership before June 30th send an email to info@nan-rna.ca