SVAP Youth Night Out

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SVAP Teen Night Out
WHEN: 6:30pm-7:30pm
WHERE: ZOOM (Links will be sent to registered email)
WHO: Teens and youth ages 10+ with disabilities come enjoy structured programs and a variety of social activities including music, dancing, karaoke, games, refreshments, and most importantly, friendships.

Email *

How many youth will attend?

For which dates would you like to register?

CHECK ALL THAT APPLY

November 6, 2020

December 4, 2020 (Snacks will be mailed or hand delivered)

First name and Last name of Youth (List all who will attend) *

Age of Youth *

Parent or Guardian First and Last Name *

Full Address for Material Mailing *

Parent or Guardian Phone Number *

Food Allergies *

Communication Support Needs *

Toileting, communication method, other helpful tips.

A copy of your responses will be emailed to the address you provided.

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