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Teen Summer Programming @ Epilepsy Toronto
Join Epilepsy Toronto this summer for 4 nights of fun teen programming, via Zoom. Open to high-school aged youth living with epilepsy. Workshops will be led by Elana and Katie, who will be joined each week by guest facilitators.
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Name of youth:
Your answer
Youth's date of birth:
MM
/
DD
/
YYYY
Home address:
Your answer
Emergency contact name and relation:
Your answer
Emergency contact phone number:
Your answer
Emergency contact email:
Your answer
Please provide a brief description on the youth's seizures to have on file (seizure types, typical length, frequency, triggers, etc). Include anything you feel is important for us to know, while the group is in session.
Your answer
What would you like us to do in case of a seizure event, while participating in a virtual group?
Call emergency contact right away
Turn camera off for privacy
Keep camera turned on for safety
Other:
Is there anything else you'd like staff to know, be aware of, or ways we can support you/your teen during the virtual group sessions?
Your answer
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