Be Part of the “EmpowerUS” Cross-Country Tour!

Thank you for your interest!
Please fill the form below, and we will contact you.
Our visits last 30 minutes to 2 hours, depending on the visit type and your availability.
See the bottom of the page for a video sample of what a school visit consists of on our tour.

 

State:

 

Type of Organization:

 

How many participants do you have?   
(For a school, ‘participants’ are the students; For a meetup group, the parents; For a clinic, the patients; For groups, the membership.)

 

How many staff do you have?   
(Teachers, clinicians, organizers, general staff, etc.)

 

How many participants / famillies have an Autism Spectrum Disorder?   

 

Which type of visit would most interest/suit you?    Classroom(s) Visit    Lecture and Demonstration Virtual Visit (Videoconference)

 

Do you generally allow visits to your organization?    Yes No Rarely

 

Do you have your own facility (if not, can you arrange one for our visit)?    Yes No

 

Do you allow photo/video at your location?    Yes No Details:

 

How many people would you estimate might attend?   

 

Do you operate during July and August (when we might visit)?   

 

Can you help us contact local press?    Yes No Maybe

 

How much advance notice do you need to schedule a vist?   

 

Do you have a parking lot or other place that can accommodate our RV (32 feet plus a trailor)?    Yes No

 

Could we park overnight, if necessary?    Yes No Maybe

 

Can you help us plot a driving route to your location that will accommodate an RV?    Yes No

 

How did you hear about Brain Power?   

 

Any Comments / Questions / Thoughts?