SLATE Logo       SUMMER SESSION 

Get S.E.T. Registration Form

Thank you for your interest in Successful Living with Autism through Training and Education (SLATE). SLATE is a program offered through Rowell in Shasta County, and is partially funded by Far Northern Regional Center. 

Your child must have a diagnosis of Autism Spectrum Disorder, be a client of Far Northern Regional Center (FNRC) or if your child is not a FNRC client but does have a diagnosis of ASD, the parents/guardians must be active SLATE members. Please contact your service coordinator at FNRC if your are interested in having your child attend the Get SET Program. 
Family/Guardian Information









Child's Information











Child's Social/Behavioral Information








Health Care







Emergency Contact and authorized alternate pick up person #1




Emergency Contact and authorized alternate pick up person #2




Emergency Contact and authorized alternate pick up person #3




Fieldtrip Payment
$50.00 donation is requested once accepted into the program. Program Manager will reach out to you for instructions. 
Photo Release Authorization

Informed Consent and Acknowledgement