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AdaptAbilities Out of School Registration Form
Home
Out of School Programs Registration
Step
1
of
3
33%
New & Returning Participants
Participants that have not previously attended programming at AdaptAbilities must complete an intake prior to completing this registration form.
I have received services from AdaptAbilities before OR completed the intake process
*
Yes
No
I have a current funding agreement
*
PDD
FSCD
No Funding Agreement
Parent/Guardian Name
*
First
Last
Phone Number
*
Email Address
*
Participant Name
*
First
Last
Participant Date of Birth
*
(dd/mm/yyyy)
DD slash MM slash YYYY
Age
(calculated automatically)
I am registering for:
*
Out of School Program - Ages 12-17
High School Transition - Ages 18+
Non - Instructional Days
Select a Location:
*
Out of School Program: McKernan Respite Centre - 11341 78 Ave
Out of School Program: Orange Hub Centre - 10045 156 Street
High School Transition Program: McKernan House 11226 75 Ave
High School Transition Program: Orange Hub Centre - 10045 156 Street
Days Required:
*
Select as many days as you need.
Select All
Monday
Tuesday
Wednesday
Thursday (Early Dismissal Starts at 2 pm)
Friday
Select Non-Instructional Days (2023-2024)
August 28 - September 1
Winter Break – Week 1 (December 27 – 29)
Winter Break - Week 2 (January 2-5)
Exam Break - (Last 2 Weeks of January)
Exam Break - (Last 2 weeks of June)
Teacher’s Convention (February 29 – March 1)
Spring Break Week (March 25 - 28)
Edmonton Catholic PD Days
Edmonton Public PD Days
Edmonton Public PD Days
Select All
September 25
October 20
November 9
November 10
November 14
January 31
February 20
March 11
April 26
May 21
May 22
June 21
Pick-Up Time Requested:
*
Please include hours requested for OS Care and full-day programming (if applicable).
Sorry! You cannot continue registration.
Hi there! If you are new to AdaptAbilities, you must complete an intake prior to registering for programming.
To book an intake, please call our office at 780-431-8446 or submit a service request
here.