Social Nights

Cost

In-Person Social Nights is $150/session
Payment is due upon program confirmation.
We are currently accepting registrations for Spring (April - June).

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)

In Person Social Nights
1 Night/Week – 5:30 – 9:30 pm April - June
Thursday: 18+ (AdaptAbilities Head Office)
Thursday: Teen Night - Ages 13 - 17 (McKernan Centre)
Friday: Pre-Teen Night - Ages 9-12 (McKernan Centre) Note: this program is not running - We are only collecting interest

AdaptAbilities Social Nights Form

Social Nights

Cost