All Autism Society of NC offices and programs are closed to comply with state directives regarding COVID-19. See our COVID-19 page for updates and resources. To reach staff, who are working remotely, please email or call 800-442-2762.

IGNITE Raleigh Interest Form

IGNITE Raleigh Interest Form

Thanks for your interest in the IGNITE Raleigh program.

Please complete the following form so that we can learn more about you and share information about IGNITE-Raleigh.

For more information please review “Is IGNITE right for you?” and the Payment FAQs.

  • Participant Info

  • Date Format: MM slash DD slash YYYY
  • Parent or Guardian

  • Questions for Participant

  • Drop files here or