DONATE
Register
Parent Resources
Blog
Login
About
Our Story
Impact
Annual Reports
Services
Year-Round Programs
In-Home Services
Summer Camps
Work With Us
Careers
Team
Volunteer
Get Involved
Other Ways to Give
Wish List
Locations
Breakfast
DONATE
Register
Parent Resources
Blog
Login
About
Our Story
Impact
Annual Reports
Services
Year-Round Programs
In-Home Services
Summer Camps
Work With Us
Careers
Team
Volunteer
Get Involved
Other Ways to Give
Wish List
Locations
Breakfast
DONATE
AdaptAbilities Social Nights Form
Home
Social Nights 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
Registration will close 14 days before the start of each program or program session
. While the registration form will remain open for those interested,
we cannot guarantee program space or timely registration processing by the program start date.
Our supervisors will work diligently to contact families who complete a program registration within the 14-day period.
Cost
In-Person Social Nights is $150/session
Payment is due upon program confirmation.
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)
Select Social Nights Group
Thursday: Pre-teen Night - Ages 10-12 (Millbourne Market Mall)
Thursday: Teen Night - Ages 13 - 17 (McKernan Centre)
Thursday: 18+ (Millbourne Market Mall)
Thursday: 18+ (Orange Hub)
Select Session(s)
*
Fall: Sept 19 - Dec 13, 2024
Winter: Jan 9 - Mar 21, 2025
Spring: Apr 3 - Jun 20, 2025
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.
Δ
