Member Registration

Family membership includes:

Access to member-only social events
Up to $100 per family per year to attend autism related workshops and conferences provided by the Charles Fowler, Sr. Memorial Fund
Access to ASBC grants and funding opportunities (for families living in Baltimore City and County)

Your membership helps the Autism Society of Baltimore Chesapeake

Connect people to valuable information and resources through our phone line, website, calendar and info@ email.
Provide monthly support groups for all those affected by autism
Provide monthly socials for those in the autism community

Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone (Home)
Phone (Cell)
Email*
Connection to Autism
(Autistic Individual/ Family Member or Friend/Educator/Service Provider/Student)
Child's Name (Optional)
First Last
Child's Birthdate
Optional, but encouraged so that we may plan age-related activities and speaker topics.
MM slash DD slash YYYY
Family Membership
Family Membership Fee
per year
$0.00
Automatic Renewal
Select this option if you would like your annual membership to renew automatically.
- Enable Automatic Renewal
Phone
This field is for validation purposes and should be left unchanged.

ASBC does not share information about our members with any other organization