نموذج البرنامج الصيفي التدريبي للسعوديين Beneficiary Full Name * Beneficiary ID number * Guardian Full Name - in Arabic * Guardian First Name - in English * Guardian Last Name - in English * Mobile number * رقم هوية ولي الأمر * E-mail * Has he/she been diagnosed with autism spectrum disorder or a developmental disorder? * Yes No Has the hearing test been performed ? * Yes No Is your son using the bathroom independently ? * Yes No Has the beneficiary been registered with the Autism Center of Excellence previously ? * Yes No How did you learn about the Autism Center of Excellence and its services? * Social MediaFrom a friendThrough a previous beneficiary of the center’s servicesThrough one of the center’s employeesOther Please enter employee ID Please agree to the terms and conditions contained in the following file (Click here to view the contract) * أوافق على الشروط والاحكام الخاصه لتلقي الخدمات في المركز انتقل للدفع If you are human, leave this field blank.
