What's your name? *

First and last name
{{answer_27717849}}, welcome to A million senses.

Which country are you from?

What is your phone number? 

Please include your country's code
Do you prefer AMS contacting you via: *

Are you: *

How many persons are travelling in total? *

How many adults? *

How many children? *

How many persons in the autism spectrum? *

What is the age of persons with ASD? *

Divide with ,
What is the age of the other children?

Divide with ,
Write a short profile for the persons in the autism spectrum *

What is his/her favorite hobby or activity? *

A million senses has amazing autism friendly holiday programs for 2017. I would like to participate in... *

You wish to travel from: *

Ignore if you have not decided yet, or if you already chose a program!
To: *

Which location in Greece do you wish to visit?

In this location: *

What type of accomodation do you prefer?

How do you prefer your accommodation style?

Please provide an estimated holiday budget per person/per night *

The offer you receive will include accommodation cost, based on your preferences stated above, and 6 hours of recreational activities for the member with ASD by autism professionals.
Give us some additional useful information and other special inquires you might have

{{answer_27717849}}, thank you for your time to fill in the form. Within the next few days you will receive a holiday proposal by a member of the A million senses team!

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