NON-PROFIT ORG Winter 2012 AUTISM SOCIETY US Postage UTISM OCIETY PAID A S Birmingham, AL OF ALABAMA Permit #40 OF ALABAMA 4217 Dolly Ridge Road SAVE THE DATE Birmingham, AL 35243 April 28th | 1 - 8 PM Otey’s in Crestline Village 205 Lambert Avenue • Suite C April is Autism Awareness Month, so the Autism Society of Alabama Junior Board and the Mobile, AL 36604 Mitchell’s Place Junior Council are throwing the 3rd Annual Funky Fish Fry to help raise money and awareness! Come out and enjoy a beautiful spring afternoon in Crestline Village. Listen to some 1-877-4AUTISM With funky music, hang out with friends, eat some good ole fried catfi sh, and have a cold one. Bring the www.auti sm-alabama.org kids down too for the moonwalks and face painting. It’s a family par-tay! Tickets are $20 per person. Kids 12 and under are free. ASA BOARD MEMBERS PAST ASA PRESIDENTS Visit www.funkyfi shfry.com for more information. Bill Pearson, President A Bama Hager, Ph.D. Peggy Stevens, Vice President George Jones Loud Jonathan Nelson, Treasurer Ed Kendall Ryan Thomas, Immediate Past President John Langlow, M.D. Nancy Barnes Mike Marti n Tracy Camp Bonnie Trulove Ben Carlisle Voice April Whitley Christy Chambers Philip Young Suzanne Dowling Letter from the Rod Harbin President of the Board Matt hew Maini Matt Moore of Directors Jenny Morris Andrea Plante Dear Friends, Lisa Riley Hanes Swingle, M.D. Please, sit down and take fi fteen to twenty Karen Vinson minutes to read this newsletter to appreciate Jodie Smith, General Counsel F220947 all that is happening within ASA. You will see Melanie Jones, Executi ve Director that the number of networking groups has grown providing great resources to families in Alabama; you will read of important upcoming conferences and state-wide events. All that you have read about and experienced over the years is expanding, as has the need. The staff and volunteers continue their marvelous work.

ASA is going GREEN! I especially ask that you pay special attention to two extraordinarily important initiatives that are Only active members of the underway. Autism Society of Alabama will receive hardcopies of future First, is the effort to provide private health insurance newsletters. coverage for those affected by Autism Spectrum Disorders. The 11th Annual Alabama Autism Conference will be held on March 2, 2012 at the Bryant Please join ASA today to stay Treatments for autism are diffi cult to access, often inadequate, Conference Center in Tuscaloosa. The conference will focus on “Daily Integration of Evidence-Based and frequently delayed. If denied coverage by private group Practices: Practical Strategies for Every Student.” Speakers include: updated on our efforts. See page 3 for a membership form. health insurance companies, parents are often forced to pay out- Ilene Schwartz, PhD of-pocket or forego the treatments their children need. Beginning The process includes two steps; the fi rst, which we cleared last University of Washington, Director of the Haring Center with South Carolina and Texas in June 2007, twenty-nine states November, is the approval of the concept, design and the organization; Roy Richard Grinker, PhD George Washington University, Professor of Anthropology, Internal Affairs & Human Sciences; Parent have enacted legislation to eliminate this discrimination. It is the second step is for the state to receive, within twelve months, Sam Odom, PhD anticipated that fourteen additional states, including Alabama, commitments to buy 1000 plates. Our twelve month commitment UNC Chapel Hill, Director of FPG Child Development Ins/tute will have legislation under consideration this year. Autism Society period began on December 1, 2011. Please see the article on page Hanna Rue, PhD, BCBA- D of Alabama will advocate for such a bill to be introduced in the 2 for more details, and don’t be that the 1000th person who is still National Autism Center, Director of Evidence-based Practice 2012 legislative session. Please see the article on pages thinking about it next November. Brenda Smith Myles, PhD 4 and 5 for more information on how you can assist. Families University of Kansas, Autism Consultant and Author affected by ASD know that this is as important an issue as we will Clearly, 2012 will be like no other year for us; let’s work together to For more information on the conference and to register: 205-348- 3000 ever address within the autism community. make sure that these two initiatives are successful. http://autism.ua.edu Scholarships are available through the Autism Society of Alabama and the Alabama Council for Developmental Disabilities’ Consumer Involvement Fund. Visit www.autism-alabama.org or Second, is our application to the State of Alabama for an Sincerely; http://autism.ua.edu for more information about these scholarship opportunities. Autism Awareness license plate. Since 1998 Alabama has

Disclaimer: The Autism Society of Alabama hopes that you will fi nd the information in this newsletter helpful. However, the material included could contain technical inaccuracies or typographical errors. Furthermore, references to treatment or therapy, service approved thirty-six specialty license plates. To put it simply, it is or service providers as well as meetings and support groups are by no means comprehensive. The inclusion of information in this newsletter should not be construed as an endorsement of any of the organizations listed or the providers referenced. ASA assumes no our time. Bill Pearson, President liability or responsibility for the use of information contained in the newsletter. Individual treatment choices should be made by the family in conjunction with a trusted physician or team of professionals who personally know the individual with autism. The NEW Autism Awareness License Plate Fundraisers and We may be biased at the Autism Society of Alabama, but Awareness we think the Autism Awareness tag is by far the best-looking specialty tag in the state. Anyone who supports the autism community, has an affected family member or friend or wants to generate awareness should commit to at least one. This highly visible tag will generate additional exposure throughout the state.

Since the tag announcement on December 1st, many have already been to their county courthouse to purchase a tag commitment. The cost is $50 with $41.50 of that amount (above) A special thank you to Making (above) ASA was recently selected for the Chris coming back to support the mission and projects of the Connections and Spirited Art Huntsville for Myers Nissan Extra Mile Award. A $500 check Autism Society of Alabama. You can even personalize your raising over $1,000 for ASA! This group painted was presented to Jennifer Robertson and Angel tag (up to fi ve letters or numbers) for free. Birmingham Starry Night and raised money for ASA while Loewen as Fox 10 News covered this story. To sign up for the beautiful Autism Awareness tag, you will need the Make, Model, Junior Board Event - socializing with friends and supporters of the Thank you Chris Myers of Daphne! autism community. Year and VIN number for your vehicle. Please visit our website for more details at Yes, we’ve made our Another Great Year! autism-alabama.org or email Melanie Jones at [email protected]. We $50 commitment With over 800 in attendance at Ted’s Garage on urge you to spread the word about the new car tag. As soon as we receive 1,000 paid Friday, January 27th, the food and beer pairing was (left) USA Occupational (right) Happy for an Autism a huge success! This event was a great opportunity Therapy student, Camille commitments, the state will begin manufacturing the tag. Act quickly because the Birthday to Board of to fi nd new favorite foods and brews while Deshotel, volunteered clock is ticking. December 2012 is our deadline to reach our quota. Awareness Tag! Directors member benefi ting the 1 in 110. Free the Hops paired dishes at the Autism Society We hope you will too! Nancy Barnes, and from J. Clyde, Slice, Maki Fresh, ORE, Frio en La booth during the Down For the cause, thank you for your Paz, Shindigs and Vino with craft beers from top Syndrome Buddy Walk generous “Birthday Southeast breweries. A special Thank You to Free on October 15th at Hank Club” donation of the Hops and these area restaurants for partnering Aaron Stadium in Mobile. over $1,000! Melanie Jones, Executive Director with ASA.

Bill Jane Peggy Jennifer has... has! has! has! Have you? Alabama Interagency Autism Coordinating Council Update (left and below) Thank you The Alabama Interagency Autism Coordinating Council met on November 15th to Kathy McConnell for in Montgomery. The AIACC is made up of parents, providers, researchers and making a beautiful t-shirt educators. The meetings are open to the public and anyone can express interest in quilt for the ASA using our (above) Jerry the FROG spreads awareness during a visit to a membership. ASA Executive Director, Melanie Jones, is a member of the AIACC event shirts. The quilt was 2nd grade class at Brookwood Forest Elementary for Circle and Bama Hager is the co-chair of the AIACC. auctioned of Friends Week. Friday, February 17, 2012 at the Gala. Kendall Maddox 9:00 a.m.-4:00 p.m. Thank you The November meeting was a presentation of the summary of all working from Kendall American Red Cross Building committees of the AIACC. Work Groups in the areas of ASD services across for your Maddox & (above) ASA staff Melanie 35 North Sage Avenue the lifespan presented updates to the council. The Special Projects Committee contribution! Associates has Jones and Jane Fuller Mobile, AL 36607 representing work in the areas of advocacy and awareness presented an update. graciously decorate an awareness tree Sponsored by: donated $1,000 at Vestavia Hills United Autism Society of Alabama An interview panel convened in January to interview candidates for the Alabama The Student Government in proceeds from Methodist Church Christmas and Autism Coordinator Position. The most recent meeting of the AIACC was January Goodwill Easter Seals of the Gulf Coast Association at Macon East his published in the Hills Celebration. This 23rd in Montgomery. An update Thank you to Kelvin and LaBreana Majors Academy in Cecil held a book. Thank you event brought awareness to Register online at http://MakingADifferenceinMobile2012.eventbrite.com of the Autism Coordinator of West Blocton, AL. They raffl ed a $100 “Donation Week” and raised for your generous area non-profi ts during the Position was given, as well as an gift card and raised over $400 for ASA to over $70 for ASA. Thank you to contribution. holidays. update of the Insurance Reform spread autism awareness. these students! Legislative Initiative. The Autism Society is a proud partner of SharingSpree. (right) Thank you to The 2012 Making a Difference Conference in Mobile will be held the Tuscaloosa Church (left) Senator Cam Ward and com. The easiest way to share, shop, and save! Sharing on Friday, February 17 at the American Red Cross Building in of God High School ASA staff member Bama Spree offers huge deals on goods and services. Sign up today Mobile. We are pleased to host Dr. Gail McGee, Director of the Youth Group who Hager, both parents of children Emory Autism Center at Emory University, as our speaker. Service and select ASA as your default non-profi t. We receive 5% of made items to raise living on the Autism Spectrum, providers, child care workers, family members and community each purchase you make. awareness and funds visited with Governor Robert members are invited to attend. To register or for more information, for ASD. visit http:// MakingADifferenceInMobile2012.eventbrite.com. Bentley on October 18th to Don’t miss this great opportunity to hear Dr. McGee! discuss issues relevant to ASD. 3-R

Policy and Grants Advisor Update Social Media Corner The Combating Autism Reauthorization Act was signed into law by President Obama on Spetember 30, 2011. The Combating Autism Thank you to Easter Seals’ Camp ASCCA for one of our best camp Reauthorization Act is primarily a bill that funds continuing research in the experiences yet! The Autism Society of Alabama was able to sponsor area of ASD. The law authorizes $693 million in federal investment over three years for research and treatment. A great deal of research for many 35 families to attend ASA’s Camp FROG on September 16-18, 2011. The Autism Society of Alabama is utilizing its social disorders or disabilities is funded at the federal level because of the research Beautiful weather allowed for plenty of time in the sun enjoying the media outlets now more than ever! By connecting with infrastructure in place with National Institute of Health and National zipline, canoes, putt-putt, and water slide. Campers also went swimming, played basketball, us on Facebook or Twitter, you will be accessing up-to- Institute of Mental Health. The Act contains some provisions for direct hiked, climbed, and explored all the camp had to offer. During the Talent Show, campers shined date information on the latest ASA news and events. We service to families affected by ASD, but is primarily researh focused. At ASA, we are very as they shared their singing, dancing, joke telling, and skits. Each year we are more and more value having the ability to engage with our constituents pleased with the passing of CARA. Funding research in the areas of treatment, diagnostics impressed with the talent our campers possess. To see videos of the Talent Show, go to www. and hope that you will connect with us online! youtube.com/AutismSocietyAL1. and etiology is important while addressing the ASD epidemic. We have thanked Alabama’s US Auburn University School of Nursing students also volunteered their time. Seven students Senators and US Representatives for their support of this bill and you can do the same from Please use the links below to locate us: made new friends with and learned from families who attended the camp. Thank you to these www.autismvotes.org. For more information about CARA, students for contributing to the success of Camp FROG! Camp ASCCA Family Weekend http://facebook.com/AutismSocietyofAlabama visit www.autismvotes.org or www.autism-society.org. Please join ASA at one of the 15 provides an opportunity for youth ages 6-18 to have a camp experience with all of the tools for http://facebook.com/AutismSocietyAL success. Encouraging and well-trained staff members lead campers through a fun-fi lled weekend http://www.twitter.com/AutismSocietyAL BamaParent and Hager, Policy &Ph.D. Grants Advisor, [email protected] locations across the state and of new challenges, instilling a true sense of accomplishment through each activity. We are participate in the always impressed by the campers (and their parents)! Thank you to the Camp ASCCA staff for 2012 Walk for Autism. providing a memorable experience for campers and their families. (left) Matt Maini, Board of If you are interested in this camping experience, ASA will be hosting another Camp FROG Thank you to Rave Motion Pictures for their sensory sensitive Directors member, and Sonia This year, in addition to a at Camp ASCCA September 14-16, 2012. Applications will be available in July. For more showings of newly released movies. The Rave Festival Plaza Maini, Gadsden Networking Walk for Autism, Mobile and information about Camp ASCCA, visit www.campascca.org. 16 in Montgomery held two sensory- friendly showings - Alvin Group leader, enjoyed Arthur Christmas with their daughters at Birmingham will host a and the Chipmunks: Chipwrecked and Puss in Boots. The Rave at Patton Creek in Birmingham held a showing of Arthur Rave Movie Theatre in Hoover on 5K Race to Solve the Puzzle. Christmas. In total, 125 people came out to enjoy the shows! We December 3rd. look forward to partnering with Rave Motion Pictures more in walkforautismAL.com Our members are the backbone of ASA, and we appreciate their support! We are proud to welcome new and renewing members. Amy Andrews, Karla Battles, Gail & Al Blakney, Glenn Brandon, Tina and John Brasher, Pam Brewer, Richard and Membership Form Rene Byrd, Christy Chambers, Kathryn DeCola, Nancy Dowdy, Stefan and Catherine Eisen, Curtis Ethridge, John and $15 Student $100 Professional Kathryn Fain, Charity Fields, Dina Floyd, Beverly Foust, Nicholas Gee, Heather Hallman, Amy Hand, Rod and Cathy Networking Group Corner - $30 Individual $500 Agency Harbin, Luanne Helms, Paula and Leonard Jowers, Sherri Killough, Martha McKnight, Richard and Edith McLemore, Thank you to our local leaders! $40 Family $1,500 Lifetime Carole Miller, Melanie Milligan, Teanna Moore, Mary Newsom, Moore Nissan, Eli Palmer, Bill and Paulette Pearson, Will Pearson, Roger Plamondon, April Shaw, Nathan and Carolyn Smith, Keith and Peggy Stevens, Marcia Taylor, Gulf Shores - Special Parents Exceptional Kids - Andrea Plante, Alexander City - Susan Ogle, Name(s): Elizabeth Walker, Bobbi Wallen, Janie and Jeff Walton, Wayne Williams Chris Willis, Kendall Maddox and Associates, [email protected] [email protected] LLC. Thank you to our Gift of Hope members: Michele Davis, Shirley Day, Ronnie and Melinda Fields in memory Auburn/Lee County - Julie Brown & Florence Evermon, Hamilton - Tanya Sanderson, Address: of Dustin Luke Fields, April Jones in honor of Jacob Jones, and Donald and Therese Prudlo. [email protected] [email protected] Birmingham Online Support Group - Tracy Cron, Huntsville - Making Connections - Debbie Bumbicka & Jenny Morris, City: State: Zip: Angels for Autism http://health.groups.yahoo.com/group/ [email protected] Angels for Autism serve as a tangible reminder of Email: BirminghamAlabamaAutismSupportGroup Mobile - Angel Loewen, [email protected] those affected by ASD. Blount County - Jennifer Proctor & Amanda Simpson, Montgomery - Tri-County Online Group - Sherri Killough Phone #: In Memory of Donald Mote: Claire Manufacturing and Andrea [email protected] http://www.alabamaautism.org/group/montgomery-autauga-elmore-county- Jackson; In Honor of Cheryl and Richard Bloomdahl: Beppy Calhoun County - Tracy Robinson, autism-online-net Payment Information: Hassey; In Honor of Collin Lee Free: Kermit Free; In Honor of Effi e Biehl: Bonnie [email protected] [email protected] Check*/Cash Loewen; In Honor of Mike Thomas: Annette Hayes; In Honor of Milo Bagby: Jennifer Centerpoint - Seeds of Encouragement - Felicia Agnew, Montgomery Regional Autism Network (RAN) - Gerri Taylor Copp; In Honor of Taylor Hopkins: Chilton Porter; [email protected] www.regionalautismnetwork.org In Memory of Deanna Wright-Webb: The Upper Deck Sports Bar and Grill; In Memory Chilton County - Chilton Autism Network (CAN) Selma - Carolyn C. Bates (Selma Disabilities Advocacy Program), Name on Card: of Temple Joseph McCool: Kenneth Harrell, Kim Mazur, Mona, Deb Bradley and the Turner [email protected] Program Acquisitions Department, Gregory Lytkowski, John Saams, Consolidated Planning Donna Jennings, [email protected] Card #: Exp: Clarke/Washington County - Charity Fields St. Clair County - Tina & John Brasher Corporation, Bill Nunn, Juliet Carter, Judi and Ken Halperin, Betty Thayer, Sherrie McCool Bott, [email protected] [email protected] Signature: Gerald and Arlene McCool; In Honor of Adylen Reagan Schubert: The Schubert Family; Cullman County - Rhonda Davis & Jessica Dyson, Statewide Info & Support Network - Mike Tumlin, www.alabamaautism.org In Honor of Connie Mullis: Cindy Mitchell; In Memory of Donna Sanfi lippo: Debra Mantia, Quest Graphics [email protected] Sumter County - JoAnn Goodwin, Please mail or fax to: LLC, Bonnie Goodman, Nancy Barnes; In Honor of Lucas Satterfi eld: Phyllis and Ralph Putman-Cotter; Decatur/Hartselle - Cindy Morgan [email protected] Autism Society of In Honor of Carolyn and Nathan Smith: Sage and Jack Nichols; In Honor of Ashley Perry: Jeannine and Jack Alabama [email protected] Tuscaloosa - Tracy Camp & Lisa Riley 4217 Dolly Ridge Road Macy; In Honor of Marsha Osborn: Susan Marenka; In Memory of Taylor Crane: Casey Crane; In Honor DeKalb County - Bobbi Wallen [email protected] Birmingham, AL 35243 of Huntsville Pediatric Associates and Pediatric Associates of Madison: Melissa Felder; In Honor of Lee Lucia: George Heaton; In Honor of Ed and Julie Mowen: Lori Nation; In Honor of Caleb Cline: Paula and [email protected] We welcome the new Networking Group leaders and *Payable to the Autism Society of Alabama Demopolis - Martha McKnight, Contact ASA look forward to getting these groups off the ground! Leonard James Jowers; In Honor of Zan Brewer: Pam Brewer; In Memory of Doris Walston: Nancy Barnes; Dothan - FASE - Fran Heisner, In Memory of Judy Fox Widmar and in Honor of Ed Foust: Buddy Widmar; In Honor of the Goad and Wood Families: Bill and Paulette [email protected] Pearson; In Memory of Elizabeth Neese: Ginger Payne, Christine Wiggins; In Honor of Charles E. Adair: Torchmark Corporation; In Honor of Florence - Janie & Jeff Walton, Chris Willis, Amy Hand, These groups are either sponsored by the ASA or the Hager, Pearson, and Landrum Families: Barbara Pearson Wood; In Honor of Neva Garner: Martha Wingate [email protected] provided by independent groups. Donations also made by: Valray Shields, Jill Walden, Kaleia Williams, Michael Caswell, The Boeing Company, Class 11-24 1st at WOC, Jared Culwell, Gadsden - Sonia Maini Dottie Mitchell, Mason East Academy Student Government Association, Community Health Charities of Alabama, Peggy Windham, Amy Hassell, Brandon [email protected] If you are interested in participating or volunteering and Abby Young, Mark and Deanna Battles, Randall and Wendy Young, Elizabeth Williams, Chadwick Wester, Commissiare Intendante Cabane 172, Peter Greater Birmingham - Contact ASA with one of these groups, Feehan, and a special thank you to Patti Ford Photography. contact the ASA to get connected. ASA extends our deepest condolences to the families of Sperry Snow and Richard Smith. (left) Friends from Autism Matters... Glenwood Autism and Behavioral Health in You Matter... Birmingham (below) Karen French Your Story Matters. writes a letter to her Autism Legislative Day legislators Tuesday, March 13, 2012 Montgomery, AL State House (below) ASA staff at the 4th Annual Communicating with your legislator is an important task in which Autism Matters Legislative Day anyone can take part. Tuesday, March 13, 2012 is Alabama’s 5th Annual Autism Matters Legislative Day at the State House. Self-advocates, Legislative Day family members, and professionals will visit their legislators to express the Writing Your Legislator overwhelming need for support and services for individuals with Autism Spectrum Disorders in Alabama. This year, Autism Insurance Reform is at Stick With One Issue: Be sure that your issue is timely. Will your legislator be working on this issue at this time? A letter is most effective if your legislator is still forming his position on the top of the list of needs. All families affected by ASD in Alabama know the topic. that insurance coverage for our family member(s) with ASD is lacking or If you disagree with the position he has already taken, however, write a letter expressing your (above) Autism Insurance Reform buttons will almost non-existent. concerns. If you agree with his position, write to tell him/her so. be provided for all attendees for Legislative Day and the Insurance Reform Campaign. If you plan on attending, make a short appointment with your legislator. If Make it Personal: Typed or neatly handwritten letters are best. Avoid bulk mailings you cannot attend, mail your letter, send an email, or make a phone call. or postcards, and group e-mails or faxes; they are the least effective. Explain why you have Whether you are able to join us on March 13th or not (we really hope you written. Tell how the issue affects you and how it affects your community. Give factual information to back up your concerns. Be sure to check your facts and site credible sources. will!), take the time to contact your legislators to ask for their continued Alabama Autism Spectrum Disorder Insurance Reform support of individuals with ASD. Your participation over the past few years Be Polite: Thank your legislator for the service he is doing. Any rude or exaggerated Bama Hager, Ph.D. with Anna Bloom McConnell, LCSW, MPH has created a strong presence in the State House for autism in Alabama. comments will lessen the effectiveness of your letter. Write with conviction, but be courteous. Your voice matters. AUTISM MATTERS. Do not threaten. Remember, you are a representative of all who agree with you. All families affected by ASD in Alabama know that insurance coverage for our family member(s) with ASD is lacking or almost nonexistent. ASA with the assistance of Autism To fi nd contact information for your local representative and senator, go to Be Factual: Work accurately, giving correct and useful information. Do your homework - Votes a subsidiary of Autism Speaks will lead a campaign to educate our legislators about research the issue you are writing about to fi nd pertinent facts to help make your point. www.legislature.state.al.us and search by your address and zip code. the lack of insurance coverage for ASD therapies and diagnostics. We will advocate for improved coverage. There are 30 states that have passed some form or ASD insurance *Lunch will be provided. If you or your child are on a special diet, you will Be Concise: Do not waste words. If possible, write no more than a page. State your position and give one or two reasons for it. Back it with evidence. reform and we think that it is time to tackle this issue in Alabama. We will ask the want to bring your own food items. legislature to pass a bill leading to improved private insurance coverage for ASD specifi c *Please respond by March 1st! Walk up registrations are welcome. Be Professional: Write the correct name and title of the legislator. Identify the bill by ABA therapy, Occupational Therapy and Speech Therapy. Autism Votes has assisted ASA number and title. Sign the letter with your name, address and telephone number. Request a in contracting with Steve Windom to serve as our lobbyist for these insurance reform efforts and lead us through the legislative Find the latest Autism reply. Ask politely for your legislator to respond to your letter with his position on the issue. advocacy process. Legislative Day news and information on Be Thankful: When a legislator votes for a bill in your favor, write a letter of appreciation. Please consider helping us advocate for improved insurance coverage for ASD therapies and diagnostics. Our efforts will Facebook and Twitter! improve private insurance coverage for families living with autism, Asperger Syndrome and PDD-NOS. When to Write: The best time to write is when the bill is still in committee. Write as soon as the bill is introduced and again before the vote . We are organizing a volunteer advocacy group named the Capitol 100. Each member of the Capitol 100 will agree to visit the legislature at the State House in Montgomery on one or more Wednesdays or Thursdays between February 7, 2012 and May 17, 2012. If Tuesday is a better day in your schedule, please let us know and we would like having your help on Tuesday. The Autism Society of Alabama and Autism Votes will train you to interact with legislators. No prior experience or specifi c 5th Annual Autism Matters skills are necessary to be a part of this campaign. Go to www.autism-alabama.org and volunteer to serve in this Legislative Day monumental effort that will improve coverage for many Alabamians living with ASD. Registration Form Name(s): ______Please help us create legislation that will result in improved insurance coverage for ASD services. Womens Address: ______City: ______State: ___ Zip: ______If you cannot be a part of the Capitol 100 group visiting the legislature, there are other ways to help. Let us know Phone: ______E-mail: ______by email or phone if you would prefer to help in other ways. We will have opportunities for volunteer activities as __I plan to attend Autism Matters Legislative Day. they are needed this winter. __I plan to attend Legislative Day but am not ordering a shirt. Please indicate the number of shirts you would like to purchase: For more information or to sign up to volunteer, go to https://sites.google.com/a/autism-alabama.org/ ___YS ___YM ___S ___M ___L ____XL ____XXL (100% polyester) alabama-autism-insurance-reform. # Polo Shirts Ordered: ______x $20 per shirt = $______* Mens Also, please mark your calendars for Tuesday, March 13, 2012 for the 5th Autism Matters Legislative Day! *Checks accepted. Please make payable to the Autism Society of Alabama. ASA hosts an annual advocacy day at the State House. Families living with ASD are invited to visit the Alabama *Plan on picking up your shirt at check-in at State House steps on Legislative Day. Legislature to meet legislators and other families from across Alabama. Please consider joining us in Montgomery at Return Registration Form to: ASA, 4217 Dolly Ridge Road, Birmingham, AL 35243. **If you would like your shirt mailed to you, please include an additional $5 for shipping costs. the Alabama State House Tuesday, March 13, 2012 between 10 am and 4 pm. In order to receive your shirt, please place your order by Februrary 20th. More information can be found at the ASA website: www.autism-alabama.org.