Speed Dating/Friending Sign Up

Fill out some info to let us know you’re interested in participating!

Autism-Friendly Speed Dating/Friending is April 12th 4-6pm at Old Oak on Parsons. All applicants are required to complete a quick screening interview before joining us. We’ll be in touch via email the last week of March so you can schedule your interview.

Name

First Name

Last Name

Phone

(###)

###

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I can date independently (without a caregiver) and I can safely use a cell phone on my own.

Yes