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.Format: (000) 000-0000.
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 or an in-person Lunch & 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)

Other
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