Join Virtual Workshops

Live monthly workshops for adults with IDD on communication, friendship, dating, and online safety. Fill this out and Katherine will follow up with workshop dates, billing, and how to log in.

Personal information

First name *

Last name *

Email *

Date of birth *

City *

State *

About you

My gender is *

FemaleMaleOther

Diagnosis

What is your diagnosis? (select all that apply)

Autism Spectrum DisorderADHDDepressionAnxietyIntellectual DisabilityDevelopmental DisabilityLearning DisabilityDown SyndromeEpilepsyTraumatic Brain InjuryFetal Alcohol Spectrum DisorderCerebral Palsy

If your diagnosis is not listed above, please add it here

Caregiver / support person

Is there a caregiver or support person you would like us to include? *

YesNot at this time

Anything else

How did you hear about Find Love Safely?

AcknowledgmentsI understand that Find Love Safely cannot guarantee that I will receive a match, introduction, date, friendship, relationship, or any particular outcome.I understand that Find Love Safely may share relevant information from this intake form and my member profile with a potential match and, when applicable, that person's caregiver or support person.By providing your phone number, you agree to receive phone calls and text messages from AlwaysHere (optional).I agree to the terms & conditions and privacy policy.

We'll email you within 1–2 business days.

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