CA:Fullerton - Fall 2026

FULLERTON, CA
Fall 2026 Session
Participant Support Form

Saturdays
September 19 to October 24

Clinic Times:
10:00 - 11:00 am (5 - 18 yrs)

Is the participant new to ACEing Autism?*

How did you learn about ACEing Autism?*

Please elaborate on how you heard about ACEing Autism*

Has the participant taken part in ACEing Autism this calendar year?*

PARTICIPANT BASICS

Athlete Name*

Preferred First Name

Pronouns

Dominant Hand*

Participants are encouraged to wear their ACEing Autism shirt to every clinic.

Does your child need a new shirt?*

T-Shirt Size*

FAMILY INFORMATION
Parent / Guardian 1

Parent / Guardian Name 1*

Parent / Guardian Name 2

Demographics

What is the participant's ethnicity / race? (Check all that apply)*

Black or African American
Caucasian or White
Hispanic or Latino
Native American
Native Hawaiian or other Pacific Islander
Asian
Other
Prefer not to answer

What is your estimated annual household income before taxes?*

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