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

We are currently accepting registrations for Fall (September - December).

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
1 Night/Week – 5:30 – 9:30 pm September - December
- Thursday: 18+ (AdaptAbilities Support Office- Whyte Ave)
- 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