DONATE
Register
Parent Resources
Blog
Login
About
Impact
Services
Team
Careers
Contact
DONATE
Register
Parent Resources
Blog
Login
About
Impact
Services
Team
Careers
Contact
DONATE
AdaptAbilities Social Nights Form
Home
Social Nights Registration
Social Nights
I have a current funding agreement
*
PDD
FSCD
No Funding Agreement
I have received services from AdaptAbilities before
*
Yes
No
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)
Cost
In-Person Social Nights is $150/session
Payment is due upon registration.
We are currently accepting registrations for Fall (September- December).
In Person Social Nights
$150/Night - 6:00 - 8:00 pm (September 15 - December 15)
1 Night/Week – 5:30 – 9:30 pm September- December $150/Session
1 Night/Week – 5:30 – 9:30 pm September- December $150/Session
Thursday: 18+ (McKernan House)
Thursday: Teen Night - Ages 13 - 17(McKernan Centre)
Price: In-Person Social Nights
Price:
Hidden
Quantity: In-Person Social Nights
Please enter a number from
0
to
6
.
Hidden
TOTAL COST: In-Person Social Nights
Payment Details
Mid-session Signup
I am registering in the middle of the session. AdaptAbilities will contact me to confirm my pro-rated registration fee.
Pre-Authorized Debit/Credit
I have pre-authorized debit/credit on file with AdaptAbilities.
Total Payment
$ 0.00 CAD
Credit Card
*
Card Details
Cardholder Name