Directory Submission Form

Name of Place

Address

Street Address Address Line 2 City State ZIP Code

Website, if available

Type of place

Library
Museum
Playground
State/National Park
Trail/Preserve
Water/Amusement Park
Zoo/Animals/Aquarium
Other

Check all that apply.

Suggested ages for visiting:

0-5 yrs
6-10 yrs
Preteens (11-13 yrs)
Teens
Adults
Good for all ages!

Admission

Free
There is an admission fee
Special pricing for families/children with ASD

Tell us about your visit: What was your child's favorite part? What worked well for you as a parent? Include any information about staff or the venue that you think will be helpful to other families.

Does this place hold special events or times for children with ASD?

Yes
No
Unsure

If yes, please explain.

Sensory Alerts: Are there sounds, smells or other sensory issues to know about ahead of time? Please explain.

Is there a quiet place available in the event your child needs it?

Yes
No
Unsure

If yes, please explain.

Do you have a photo of this venue that we could include in the posting?

Yes
No
Maybe

Please indicate your email address so we may contact you with questions or further information, including submission of photos if you indicated above

Phone

Maine Access to Inclusive Education Resources

MFP Places and Spaces Submission Form