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 * 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.
