January 2010 The Newsletter of the Autism Society of North...

January 2010 The Newsletter of the Autism Society of North Carolina Mecklenburg County Chapter www.asncmeck.org

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**Free Childcare is Available** Childcare is available for the first 12 children registered. Those not regis-tered will be turned away. We must insure the safety of all children under our care during the meeting, so we must know how many will be in atten-dance before each meeting. To register for childcare, contact Kathy Snyder by Tues. Jan. 5th @ 704-904-0456 or [email protected] .

Meeting Location: - Myers Park Baptist is located at 1900 Queens Rd., Charlotte– 28207, across the street from Queens University on Selwyn Ave. Parking is available on the streets in the evening. Enter the church grounds at the brick and wrought iron stairs behind the sanctuary, then follow the sidewalk to the Education Building. Someone will assist you in finding our meeting room which is in the basement this month.

Inside this Issue–

President’s Note 2

Calendar 3

ASNC– News 4-5

ASNC-MCC News 6

ASNC– MCC Teacher Grant Winners 7

Local Recreation Options 8-9

Autism’s Touch- Dave Belk 10

Parent Education Opportunities 11

Membership Form Last pg.

Doors open at 7:00 Announcements– 7:10 Speaker- 7:15-8:45

ATTENCION¡ El jueves, el 7° de enero, venga a nuestra reunión en la Iglesia Bautista de Myers Park a las 7:00 PM para escuchar al Dr. Bilal Ghandour de Southeast Psychological. El Dr. Ghandour va a hablar sobre cómo proteger a sus bodas y a sus relaciones cuando tiene personas con el autismo en la familia.

For our, Thursday, January 7th Support Meeting, we present

Dr. Bilal Ghandour of Southeast Psychological

Topic: Safeguarding your Relationships and Marriage

Studies have shown that families raising a child on the spectrum exhibit more stress reactions than families raising children with other health issues or disabilities. These stressors take their toll on marriages and strain other relationships as well. Dr. Ghandour’s presentation will offer tips to decrease the impact of this stress.


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President’s Note:

Two Thousand and Nine is drawing to an end. Memberships to ASNC-MCC are up for renewal. The good news is that the Autism Society of North Carolina has decided to embark on the new practice of roll-over renewals. So rather than memberships running from January to January, membership will be due the month you joined. For most, January is a cash strapped month; being able to send dues later is just more sensible. You will also receive notices from ASNC about your upcoming anniversary each year so renewal will be easier to remember.

Each year, many of you ask yourself, why should I join ASNC? What do they do for me? Along with pro-viding some funds from dues for printing this newsletter and maintaining our websites, ASNC provides other important services. Locally, ASNC employs two dedicated, experienced parent advocates, Nancy Popkin and Kim Tizzard. Both are parents of children with autism and both have had many of the same struggles you live with each day. They are available to work with our families, FREE of CHARGE, to help with issues relating to your community, structuring the home, and finding resources to improve your child’s quality of life. Although many parents call them for school issues, they often work in broader cir-cles. Because of training they offered, we now have programs such as: the Special Needs Assistance Line at Carolina’s Medical Center, Special Needs story time at many of the Public Libraries. They have part-nered with the Autism Foundation of the Carolinas to provide training to those in the faith community and they have provided training to area law enforcement officials. If you call Autism Speaks for the 100 Day kit, our parent advocates are the people listed for support. Our ASNC advocates do much to make Char-lotte more autism friendly for all of us, so supporting them is supporting everyone in our local autism fam-ily.

You may not be aware, but ASNC’s Maureen Morrell spends her days in Raleigh working with our legisla-tive members and other groups dedicated to those with developmental disabilities. Because of her hard work, we were able to maintain services for more people despite drastic budget cuts. In the coming year, she will continue to work hard on issues pertaining to CAP slots and insurance for those with autism. I think we all support that.

If you go to the ASNC website, you will find a support network that is available at all times. The site offers a blog, a twitter contact information, and information available through Facebook. You can sign up for e-mail blasts that will keep you up to date on the latest information from our state organization, including legislative updates. So as you finish paying your holiday bills, please remember the important work done for you and those you live.

Joining is easy. You can go on-line : www.autismsociety-nc.org and follow the prompts under I want to help. You can also print off the last page of this newsletter, which contains a membership form. Fill out the form and send it to ASNC at the address listed. Your membership makes all our lives better. Merry Christ-mas, Happy Hanukah, Happy New Year!

Nancy Nestor, ASNC-MCC President 704-545-1902 : [email protected]


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January 2010 Calendar Jan. 2nd (Sa) Stories Alive and More- a storytime for special needs children and their families. Steele Creek Public Library; 11:00 AM. Features mu-sic, stories, and props. Please call 704-416-6800; for Jeanenne or Shern to register and for more info.

Jan. 3rd (Su) SHINE– Church from People with ASD; Hun-tersville United Methodist; 14005 Stumptown Rd. 2:30– 2:50; Rev. Monica Humpal~ 704-875-1156 [email protected].

Jan. 5th (Tu) - Feb. 9th: Challenger Basketball; Marion Diehl Center; 2219 Tyvola Rd.; 6-7:00 PM; for those 7-21 with dis-abilities; fee- $15.00; contact: Margot Howell—[email protected].

Jan. 6th (W) FREE Support Group for Parents of Kids with Asperger Syndrome; For families with kids 13 and younger; 10:00 AM; Southeast Psych– South Park Office; Mary B. Moore will lead this group; call 704-970-4791 to RSVP. A separate group for parents of Aspy teens is held in the Ballantyne Office.

Jan. 7th (Th) Lunch and Learn at SouthEast Psych; Helping your Overanxious Child; led by Jennifer McConnell, M.A; 12:00-1:00 PM; SouthEast Psych. Southpark Office; RSVP to Diane at [email protected].

Jan. 7th (Th) ASNC-MCC Monthly Support Mtg.—Safeguarding your Relationships and Marriage; with Dr. Bilal Ghandour 7-9:00 PM Myers Park Baptist; 1900 Queens Rd. Charlotte, 28207.

Jan. 8th (F) Tweens & Teens at the Movies! Featuring UP! Myers Park Presbyterian Church; 11 –18 year olds; Drop off: 6:45pm and pickup: 8:30pm. Please RSVP to Tanya Gaspar- [email protected] or 704-927-1271.

Jan. 9th (Sa) ASNC Sensory Friendly Films: Alvin and the Chipmunks: The Squeakquel; 10:00 AM; $5.00/ person - Con-cord Mills 24; 2421 Concord Mills Blvd.; Concord, 28027.

Jan. 9th (Sa) Rhythm and Rhyme: a storytime for special needs children and their families. Matthews Public Library; Info/registration, contact Tricia at 704-416-5004.

Jan. 9th (Sa) Pre-K Play Days (S) through Jan. 30th; for ages 2– 6 with disabilities; 2-3:00 PM; 521 Recreation Center, 11404 Ardrey Kell Rd.; $25.00; program offers music, play, arts, and cooking; Registration and more information - Angela Conti: [email protected].

Jan. 10th (Su) Camp Royall Family Fun! (1-4:00 pm); Join us for recreation and leisure in a fun and safe setting for families with a member on the autism spectrum. Use the gym, play-ground, arts & crafts, and other camp-related activities.

Jan. 10th (Su) Camp Royall Family Fun ~Continued: Staff will help guide activities. Concessions available, but you are asked to bring a snack /picnic lunch. RSVP to Sara Gage or Call 919-542-1033. Suggested donation of $10-$20 per family.

Jan. 11th (M) Special Needs Planning with Ryan Platt and Tom Nichols; 6:30 PM; Toast Restaurant, Main St. in David-son; RSVP to Amy Stipancich: [email protected].

Jan. 13th (W) TEACCH Parent Forums: Choose 2 AM ses-sions. Topics: Introduction to TEACCH; Intro to Visual Strate-gies, Problem Solving with Written Strategies; Registration is required. Call Charlotte TEACCH Center 704-563-4103.

Jan. 16th (Sa) - Feb. 20th– Bumper Bowlers; for kids 6-12 George Pappas Lanes; 1700 Montford Ln.; 10 AM-noon; cost- $45.00 for 2 games, shoes, and a party the last day; contact An-gela Conti, [email protected].

Jan. 16th (Sa) Teens Club (13-21/ disabilities) Queens Men’s Basketball Game; 6-9:30 PM. Fee- $15.00; contact Margot Howell; [email protected].

Jan. 18th (M) & 25th (M) School Days Out Program; 8:30- 4:30; Marion Diehl Center; $35.00 /day; Registry/ payment due 3 business days before each event; See Karen Noel, at 704-432-4326 or [email protected].

Jan. 19th (Tu) Coffee Time North– 9:00 AM~ Panera Bread/ NorthLake; RSVP to [email protected].

Jan. 20th (W) Coffee Brunch– Downtown: 11:30ish– location TBD. RSVP to [email protected].

Jan. 21st (Th) Coffee Time South– 9:00 AM~ Café Carolina Providence Rd. and 485. RSVP to [email protected].

Jan. 21st (Th) Parents of Newly Diagnosed children with Autism; ~ Free, Must RSVP. No childcare. 9:30-12; ASNC; call Advocates: 704-894-9678/ [email protected].

Jan. 22nd (F) Future Horizon’s Conference for Families with HFA or Asperger Syndrome; Cobb Galleria Centre, At-lanta Ga.; Speakers: Temple Grandin and Carol Gray Low rate reservation deadline– 12/ 22/09; See page 11 for prices. To reg-ister call: 1-800-489-0727 Or www.fhautism.com.

Jan. 23rd (Sa) Saturday Smorgasbord: A storytime for spe-cial needs children and their families; South Regional Li-brary; 10:-10:45 AM. Reservations required. Call 704-416-6600; ext. 2. Twenty slots available.

Jan. 23rd (Sa) - Feb. 20th Howie’s Kitchen for Disabled adults; 10Am– 1PM. contact Karen Howard, [email protected].

Jan. 27 (W)- Monkey Joe's Free Bounce time; 6:15– 7:15 PM; kids 12 and under with autism and their sibs! Go to any of the 4 Monkey Joe’s Locations in Mecklenburg!


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NEWS FROM ASNC...

Help us collect a thousand stories on the effects of state budget cuts We need your help! We need your stories! Help us collect a thousand stories through this survey to share with legisla-tors, the Governor, Department of Health/Human Services staff, and LME Directors. They need to know how budget cuts for developmental disabilities, mental health and substance abuse services affect the lives of individuals and fami-lies across the state. There are three different surveys, one each for:

For Individuals and family members of people with disabilities who have lost some or all of their services within the MH/DD/SA system (including residential and vocational). If the individual or family member fears losing services but hasn't yet, fill out the survey now and then again if and when the person does lose some or all of their services. Click here to complete the survey.

For Providers in the MH/DD/SA system who have cut services, employee salaries, benefits, hours, etc. Click

here to complete the survey. For Employees (current or former employees of MH/DD/SA providers) who have lost or experienced reduc-

tions in hours, salary, benefits etc. Click here to complete the survey. Please take a few minutes and complete the survey. The survey will be active between December 1, 2009 and June 30, 2010. If you have problems accessing the survey or need assistance, click here to contact Maureen Morrell, Director of Gov-ernment Relations, and she will arrange for a parent advocate to assist you. Thank You for completing the survey– Your story is important. Please share these surveys with others who have been affected by state budget cuts. Sincerely, The Autism Society of North Carolina 800-442-2762 www.autismsociety-nc.org


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Saturday, January 9th - 10:00am AMC Concord Mills 24

8421 Concord Mills Blvd Concord, NC 28027

704‐979‐019721 Cost: $5.00 per ticket

More News from ASNC…

Alvin and the Chipmunks: The Squeakquel

AMC Entertainment® and the Autism Society of America have teamed up to bring families af-fected by autism a special opportunity to enjoy their favorite films in a safe and accepting environ-ment on a monthly basis. With Sensory Friendly Films, the movie auditoriums will have their lights brought up and the sound turned down. For tickets to this unique experience, please visit the theatre’s box office the day of the event.

Thank You... The Autism Society of North Carolina wishes you and your family a wonderful holiday season. We would like to take this opportunity to let you know that it has been our honor and pleasure to work with you and to serve you this past year. With your help, we can continue providing support and promoting opportunities for the over 50,000 individuals in our state affected by autism spectrum disorder. We have put together a short slideshow that includes information about the impact that you have helped ASNC make in 2009. Click here to view the slideshow. As we approach the end of the year, please consider a tax-deductible gift to help us continue fulfilling our mission in 2010. Click here to make an online donation. Happy holidays and best wishes for 2010!

Sincerely, The Autism Society of North Carolina 800-442-2762 www.autismsociety-nc.org


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Smorgasbord of Helpful Information

The following is a listing of helpful information passed on to us by parents so that we can share with you.

Thanks to Susan Wild~

Upcoming PECS in the Carolinas:

Feb. 22-23, 2010; 8:00AM-4:00 PM. PECS Basic Training ~Columbia, SC Cost: $395 professionals/$295 parents

www.pecs-usa.com or 888-732-7462; Early bird registration deadline; 12/24/09. Thanks to Christy Koury~

Quick stick Tattoos that can be written on are a must for families with non-verbal children when they travel. Temporary waterproof tattoos can be ordered through Safety Tats. Go to: www.store.safetytat.com/store/

January COFFEE TIME:

North– 1/19 (M) 9:00AM~

Panera Bread/ NorthLake Downtown Brunch– 1/20 (Tu), 11:30ish South - 1/21 (Th) 9:00AM Café Caro-

lina / Promenade on Providence @ 485

Details or RSVP– Contact: Nancy Nestor [email protected] or 704-545-1902

Other Announcements:

Do you have some worthy news to share? The editor of Autism Matters is always looking for a good story. It can be advice for other parents, news about an autism friendly activity in our area, informa-tion about an upcoming event or helpful resource, or just an inspirational or funny story about how autism has touched your life. Please e-mail your story, written in Times New Roman font and send it to [email protected] .

Board Member Openings: For the 2010-2011 school year,

the ASNC-Mecklenburg County Chapter will have board openings. Specific openings include: treasurer, newsletter editor and co-president. If you have skills in accounting, writing, fundraising, net-working, team-work, and have time to volunteer, please contact Nancy Nestor– [email protected] to find out more.

ASNC-MCC Inclement Weather Cancellations

If you are worried about attending an ASNC-MCC function that may be cancelled due to bad weather, you can

Check our website: www.asncmeck.org ,

Tune to Channel 6 WCNC, check for ASNC– MCC

or if Charlotte Mecklenburg Schools are cancelled for that day, we will cancel too.


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Announcing the 2009-10 ASNC-MCC Teacher Grant Winners!

Barbara Putnam– Beverly Woods Elementary

Janet To– Double Oaks Pre-K

Kate Kershaw– Selwyn Elementary

Carla Gentile– Lebanon Rd. Elementary

Caroline Stewart– Morehead Elementary

Christine Swinger– Oakdale Elementary

Megan Gregory– Ardrey Kell High School

Kylie McKinney– Winget Park Elementary

Dee Griffith– Metro School

Helen Standley– Metro School

Michelle McCullough– Mint Hill Middle

Lisa Williams– Northridge Middle

Rowena Tunnell– Greenway Park Elementary

A Note of Thanks-

To our performers at our Annual Holiday Party: Mendlik Cannaday

Ryan Premo Charlie Bounds Chris Stickell Bryan and Avery Fields

Those who donated items and purchased from our Silent Auction, because of you, we were able to donate $115.00 to First in Families of Mecklenburg County. They are the local non-profit designed specifically to provide funds for needy families with children on the spectrum.


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Davidson– Cornelius– Huntersville Adult Therapeutic Recreation

Program Goal: To provide the opportunity to socialize with peers, improve self-esteem, learn new skills and increase in-dependence. We invite you to join us for a different activity each month. Bring your friends or come alone and meet new ones. Ages 20 and up. Registration is required. Davidson College Basketball Game Time/Date/Fee: January 9th (Sa), 2:00 pm; $6.00 Location: Baker Sports Complex Registration Deadline: January 4th Meet at the box office at 1:30 p.m. Visit to Latta Plantation Equestrian Center We will care for the horses, go on a hayride and ride a horse. Time/Date/Fee: 12:00- 2:00 p.m. Feb. 27th (Sa), $14.00 Location: Latta Plantation Equestrian Center Registration Deadline: February 15th Honing Communication Skills with Table Topics with Toastmasters at the Lake- Come and hone your communication skills in a nurturing and supportive environment with Toastmasters at the Lake. They will guide you thru a fun “Table Topics” program to help you think on your feet. This is an experience you don’t want to miss! Time/Date: March 23rd (Tu), 6:30-8:00 p.m., Fee-$4.00 Registration Deadline: March 9th Registrations may be made online at www.ci.davidson.nc.us, by calling 704-892-3349, or in per-son.

Area Options for those with Autism North Meck Families- Josh Martin's Taekwondo America Is offering Autism-friendly Classes

Nomad Aquatics and Fitness 11202 Harris Rd., Huntersville NC 28078; For info. call (704) 794-2150 or go to: www.martinstkd.com South Meck Families-

Special Needs Story Time

Rhythm and Rhyme: A Storytime for Chil-dren with Special Needs and Their Families Saturday, Jan. 9th at 10am.

Matthews Branch Library’s Community Room Registration is favored but not required. Please contact Tricia directly with questions or to reg-ister at 704-416-5004 or via email at [email protected]

Programs are offered at South Regional on Jan. 23rd and Steele Creek Libraries on Jan. 2nd as well. Please check their sites on the PLCMC web-site: www.plcmc.org.

Wesley Chapel/Weddington Athletic Association

Spring Baseball Sign ups!

REGISTRATION OPENS 1/1/2010

(players and buddies MUST REGISTER)

Hurry!!!!! Registration closes on 1/31/2010

Register online through 1/31/10 @ WCWAA.org

Need more information???? See the website or contact John Fisher [email protected] or call 704-843-0127.


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County-wide Options for those with Autism

Challenger Basketball Jan. 5th- Feb. 9th (Tu) ages 7-21 with disabilities; Participants will learn the fundamental skills of basketball, working as a team, and good sportsmanship. Come in appropriate athletic attire. Marion Diehl Recreation Center, 2219 Tyvola Rd; 6-7:00 PM; Fee: $45.00 Contact: Margot Howell, [email protected].

Schools Day Out Program

Mecklenburg Therapeutic Park and Rec. Programs pro-vides programming for students of all ages when CMS is not in session. Students must bring a bag lunch. Please see information below: Call 704.432.0237; Contact Angela Conti for grade schoolers: [email protected] Karen Nolan for teens: [email protected]

Charlotte Mecklenburg Park and Recreation’s Therapeu-tic Division is offering more than 40 programs that are appropriate for our family members of all ages. For more information on other programs and the latest issue of “The Wire”, go to: http://tr.charmeck.org.

Jan. 18th

8:30 am-4:30pm

MLK Day

$35.00

Jan. 25th

8:30am- 4:30pm

Winter Please!

$35.00

Date Times Theme Cost

All 11 –18 year olds are invited to Tweens & Teens at the Movies!

January 8th (F) 6:45– 8:30P

Myers Park Presbyterian Church

~ room F-207

Please RSVP Tanya Gaspar

[email protected] or 704-927-1271

Youth Therapeutic Recreation

Dance and Movement Class with Jenny Griffes

Jan. 13 -Feb. 17th; 6:30 - 7:15 p.m.

Huntersville Arts and Cultural Center

Ages 5 and up

Fee: $40.00

The class is based on the BrainDance theory, which incorpo-rates exercises that stimulate the body through movement.

Co-Sponsored by the YMCA & led by dance instructor, Jenny Griffes.

Registration Deadline: January 6th contact Jenny Griffes: 704-716-6780,

[email protected]

Youth Basketball- Ages: 5 - 19 Players learn basic basketball skills such as shooting, dribbling,

passing, and will practice these skills with peers, volunteers and staff.

Feb. 6– Mar. 13th (Sa) 9-10:00 a.m.

fee: $50.00 (includes jersey and trophy)

Location: Torrence Creek Elementary Gym Registration Deadline: January 22 Registrations may be made

online at www.ci.davidson.nc.us, 704-892-3349 or in person.

Special Olympics Aquatics:

Practices are held Mondays, 7:45 – 8:45 pm, at MAC 800 East Second St., Charlotte, 28202, starting January 4 thru May 24, and on Tuesday, 6:30 – 7:30 PM at The Le-vine Jewish Community Center, March thru June 1. contact Greg Morrill, Director, Special Olympics Mecklenburg County at (704) 358-1935, ext.3, 8:00am to 5:00pm. Email: [email protected]


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In a wonderful interview with Dave Belk, the actor talks about his passion for acting and the importance of raising awareness for autism to others. His recent movie, The Last Passport, premiered on October 21st at the Epicenter and was produced by Lucky You Films. Mr. Belk was very excited about this movie and his fervor for acting shows through the conversation of how he achieved acting. Being as one of his favorite things to do, his passion for acting began during his high school years. In one of his school performances, he even starred as Santa Claus during the Christmas season.

Through the great support and help of his friends and family, he has been able to pursue this dream. His first professional role as an actor was at CCPC for a role starring in Death of a Salesman. Nowa-days, Mr. Beck enjoys the festive event of being on the red carpet and being treated like a star. Ulti-mately, his happiest moments as an actor include accepting the part and saying the line to act out the character for the role.

He also enjoys many genres of movies such as comedy, drama, action, and romance. However, his favorite movie is, Backdraft, which is a firefighter movie. Interestingly enough, becoming a firefighter happened to be his second passion. Anyone who has met Dave can testify to that fact. Other interests that he enjoys include trains, fire engines, and sports.

An intriguing fact about Dave Belk is that while being an actor, he is also autistic and was diagnosed at the age of 13. Although he had many ups and downs, he learned a lot of things, such as controlling high to low sugar content. Throughout it all, his parents were al-ways there to support him with advice and words of encouragement. Having his sister and brother-in-law accompany him to the Charlotte Premier of The Lost Passport, was another nice token of support for him.

Mr. Belk is also passionate about raising awareness for autism because it helps others learn about acting normal around autistic people. Although some people are confused on how to respond, teaching them how to behave would make good impact for all of the other people with autism in our community. Helping others learn about autism is very important to Dave and he advises to people that they should be aware of the signs of autism and they should they find themselves with someone having autism, they should treat them respectfully, as they would anyone else. Not only is becoming an actor a big accomplishment, but being autistic while achieving this great goal is an even bigger achievement. With his increasing talents as an actor and fervor for raising awareness for autism, we will definitely be hearing great things from Dave Beck in the future!

Autism’s Touch... Our very Own Dave Belk– A Man on a Mission!By Lisa Fan


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Wednesday Forums: January 13, 2010

The Charlotte TEACCH Center offers one hour morning information forums on a monthly basis. Concurrent sessions allow parents to request enrollment for 1-2 sessions during the morning. Forums are open to family members of clients of the Charlotte TEACCH Center. There is limited seating available and acceptance is on a first come first serve basis. Forums are offered free of charge though there may be a small materials fee for Make and Take Sessions. Some sessions recommend previous participation in an introductory level session. Enrollment is required for all sessions. Participants will be required to sign a confidentiality statement for each forum attended. To enroll in forums please call the Charlotte TEACCH Center at 704-563-4103. Topics include:

Introduction to TEACCH – Johanna Banks Two sessions available General information and introduction to the TEACCH program including information about diagnosis, assessment, and treatment for individuals with Autism Spectrum Disorders.

Introduction to Visual Strategies – Kristen Hendrix Introductory information about using schedules, work/activity systems and visually structured teaching activities to provide support and improve learning. Recommended for parents who are interested in individual sessions with TEACCH staff.

Problem-Solving With Written Strategies – Ruth Fuller Addressing issues from homework to flexibility using written strategies helps to improve social understanding and reduce anxiety before behavior problems start. Written strategies also help parents and individuals with HFA/Asperger’s resolve issues that are ongoing.

Future Wednesday Forum Dates: Feb. 17, 2010; Mar. 17, 2010; check www.asncmeck.org for future details

Future Horizons~ For Families learning to Support those with Asperger Syndrome or High Functioning Autism

Speakers: Temple Grandin, professional with High Functioning Autism And

Carol Gray, creator of Social Stories

Early reservations deadline– DEC. 22nd, 2009 Cost: $160.00—professional; $130.00 - family members; students: $95.00; those with autism: $70.00; substitutions allowed; special hotel rates available at the Sheraton Suites Galleria Atlanta

To register or to find out more call: 1-800-489-0727 Or go to: www.fhautism.com and click on conferences

Conference location: Cobb Galleria Centre Two Galleria Parkway Atlanta, Georgia 30339


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ASNC Membership (circle level) Individual/Family - $40 Contributor - $75 Supporter - $150 Agency/Service Provider - $200 Life - $1,250 Student - $25 *indicate ASNC Chapter name below and ASNC will give back $10 to your local chapter. Name_____________________________________________________________________________________ Address___________________________________________________________________________________ City__________________________State_____________Zip_______________ Telephone (h) ________________________________ (w) ________________________________ Email___________________________________________________________________________ ASNC Chapter Name_________________________________________________________________ Type of membership(s) (e.g. asnc-family)________________________________________ Total enclosed $_______________

Mail all memberships to ASNC to: Autism Society of North Carolina

505 Oberlin Road, Suite 230, Raleigh, NC 27605-1345 To charge memberships call 1-800-442-2762

We Need Your Help - Become a Member! Join the Autism Society of North Carolina

Membership Form

ASNC – Mecklenburg County Chapter c/o Nancy Nestor 3846 Lipton Ln Mint Hill, NC 28227

If you would like to receive Autism Matters via email, send a request to [email protected] Thank you!

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