CHILL ACT

NEURODIVERGENT & KIDS' EXPO

First Steps Support Form

For families recently diagnosed or just beginning their journey

Which CHILL ACT Expo city are you attending?

Colorado Springs - March 28 2026

Phoenix, Arizona — May 9, 2026

Dallas, Texas — May 30, 2026

Miami, Florida — June 6, 2026

Houston, Texas — June 13, 2026

Durham, North Carolina — August 29, 2026

Email

Parent / Guardian Information

Last name

First name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Child Information

Last Name

First Name

Age

When was your child’s diagnosis or initial evaluation done?

Within the last 3 months

3–6 months ago

6–12 months ago

What kind of support are you hoping to find right now?

Number of People Attending Lunch

Important Disclaimer

The information shared in this form is kept confidential and used only to help connect families with general information, community resources, and support options. This form is not medical, clinical, legal, or diagnostic advice, and does not replace professional evaluation or services.

CHILL ACT and its partners assume no liability for decisions made or actions taken based on the information provided. Participation does not create a provider–patient or advisory relationship.