FASD Adult Support Group Intake

The group, Adulting with an FASD, takes place on the third Monday of each month at 7pm Central Standard Time. (Please find out the time if you are joining from another time zone). 
1.First and Last Name 
2.Email address (type carefully)
3.Phone Number 
4.Age
5.City and State
6.What do you feel are important topics to discuss in group?
7.Are there other topics you would like to discuss in group?