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#AmbassadorsForAutism

Join our #AmbassadorsForAutsim campaign by submitting your details and a photo below.

Full Name of the person submitting the photo (required)

Email address of the person submitting the photo (required)

State (required)

Post code (required)

Country (required)

First Name of the person in the photo (required)

Are they on the autism spectrum? (required)
YesNo

A bit about them - their interests, skills, favourite things, hobbies (required)
"Eg: My name is James, I love apples, I enjoy jumping on trampolines, I am learning new life skills everyday, I live in Sydney, Australia"

Please attach your photo. Photos must be in JPG, GIF, TIF or PNG format and should not exceed 2MB in size. (required)

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