Please fill out all of the necessary information below if concerning support and information groups below.

What is your relationship to an individual with an intellectual or developmental disability? *
If you selected "Other" above, please specify your relationship in the box below.
Would you be interested in starting/joining a support/information group or groups concering intellectual and developmental disabilities? *
Which day(s) of the week would be most convenient for you in order to meet? *
Select all that apply.
What time(s) of the day would be most convenient? *
Select all that apply.
What type of support group are you looking to join? *
Select all that apply.
If you selected "Specific Disability Support" above, please list here.
If you selected "Other" above, please list here.
Would you like to have professionals/specialists come as guest speakers to the support groups on occasion? *
Name *
Name
Phone *
Phone
Address *
Address
Contact Preference *
How would you prefer The Arc get in touch with you about future meetings?