Social Nights Registration

Home Social Nights Registration

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.
We are currently accepting registrations for Spring (April -June).

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)
In Person Social Nights
- Thursday: 18+ (AdaptAbilities Support Office- Whyte Ave)
- Thursday: Teen Night - Ages 13 - 17 (McKernan Centre)
- Thursday: Pre-teen Night - Ages 10-12 (Millbourne Market Mall)

AdaptAbilities Social Nights Form