🌟 Registration Form

Welcome! Please fill out this form to register for our Young Adults Social Group.

After we review your application, we'll send you payment information and session details via email.

✅ Registration Ready to Send!

Your email client should open with all your registration information filled in. Simply hit "Send" to complete your registration!

We'll review your application and get back to you within 24-48 hours with payment details.

First Name *

Last Name *

Age *

Must be 18-22 years old

Pronouns (Optional)

Email Address *

We'll send payment details and Zoom links to this email

Phone Number *

For emergency contact purposes only

Emergency Contact Name & Number *

Which payment option are you interested in? *

Drop-in ($20 CAD per session)

Weekly Subscription ($20 CAD/week)

Do you identify as neurodivergent? (Optional)

What supports or accommodations would help you participate comfortably? (Optional)

This information helps us create the best experience for you. All information is kept confidential.

Previous group experience or anything else you'd like us to know? (Optional)

How did you hear about us? (Optional)

I have read and agree to the Community Guidelines & Behavior Policy *

I confirm that I am between 18-22 years old *

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