Lunch & Learn Interest Form

Autism and ABA Lunch & Learn

Interest Form
We’d love to partner with you to bring helpful, evidence-based insights to your team. Our local leadership team is hosting Lunch & Learn sessions—a brief discussion on Autism Spectrum Disorders and Applied Behavior Analysis (ABA).

To make it easy (and enjoyable!), we’ll provide a catered lunch for your team to enjoy while you learn.

Once you complete this form, a KBH team member will be in touch to confirm the details.

We look forward to connecting with you and your team!
Organization/Office Name*
Contact Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Preferred Date/Start Time (1st choice)*
Preferred Date/Start Time (2nd choice)*
How many participants do you anticipate joining the event? *
Preferred Food Vendor (please let us know any favorite local lunch spots for food delivery)
Do you prefer a virtual Lunch & Learn event or a LIVE Lunch and Learn event? (Note: Food would be delivered with either option. If a virtual event is preferred, a link to an MS Teams call would be provided by the KBH team)*

Virtual event on MS Teams or alternative platformLIVE event at our locationNo PrefereneceOther
Do you have a place for our representative to present a powerpoint?
Additional Information (ex. dietary restrictions, how to find your office etc.)
Should be Empty:

Autism and ABA Lunch & Learn