REGISTER CHILD

REGISTER YOUR CHILD WITH US

ATAC aims to build up a data-base of Tasmanian children with ASD. We are also interested in including children who have not been diagnosed with ASD, but whose families believe may also be on the spectrum.

Your information is vital if we are to stop bureaucrats and politicians hiding behind the doors of ignorance. Use the link provided if you have more children to register with us, or if you wish to add more comments.

Use the comments section to let us know if your child/children have been involved in any programme, and to what extent this programme has helped your child.

It is also important that children who have had successful programmes be registered on this data-base.

We need to convince those in authority that our children can learn, and reach full potential.

ALL INFORMATION PROVIDED STRICTLY CONFIDENTIAL

All Information Strictly Confidential - Register your child

Full Name
Email
Street Address and City
Postal Address City and Post Code
Home Phone Number
Mobile Number
Your Web Site
First Child's Full Name
DOB
Diagnosed/Undiagnosed
Age at Diagnosis and Nature of Diagnosiseg Asperger's Syndrome
School Attended
Second Child's Full Name
DOB
Diagnosed/Undiagnosed
Age at Diagnosis and Nature of Diagnosis eg Asperger's Syndrome
School Attended
FURTHER INFORMATION Please use this section to give us any additional information you wish. To tell us your story in detail, just follow this link.
	Form Mail by FormToEmail.com

Continue to next page if you need to supply more information.

REGISTER YOUR INTEREST

Please help us build our data-base into an accurate picture of the number of children in Tasmania who are on the autistic spectrum. Let others know about this register.

ATAC - Action for Tasmanian Autistic Children!

REGISTER YOUR CHILD WITH US

REGISTER YOUR INTEREST

SITE INDEX

LINKS TO ABA SITES

LINKS TO OTHER AUTISM SITES

Other Links