Autism Writes Short Story Registration Form - Ascent Cognitive Education Center

Autism Writes Short Story Content Registration Form

Congratulations on making the decision to share your story with Autism and enter the Autism Writes Short Story Content! Even if you have more than one person in your family wanting to submit a story, each author must register and pay their own fee individually for accuracy of our records. Remember to submit your story by April 30, 2021. Please submit your story to autismwrites@ascentcenter.us

Step 1 of 2

Author's Name *

First

Last

Age of Author *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Confirm Email

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