The SPACE Digital Drop-In Program Registration

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Hello! This form is to register for online programming at The SPACE Youth Centre.

Due to the on-going pandemic, we will not be open for physical drop-in. We will be running programming online with a maximum of 10 participants and 2 facilitators. We will have monthly kits of necessary program supplies available for contactless pick-up at The SPACE (24 Main St. West).

Have you read and understood the above statements? *

Yes

Name & pronouns *

Age *

Contact information to confirm registration & send links to join zoom *

Would you like us to contact you about any safety barriers?

Yes

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Are there additional accommodations we can consider for you?

Submit

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