Let's Get Social 2026 Registration - Laurel Behaviour Support Services

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Registration for this session is full. If you’d like to leave your information, we will add you to our waitlist.

Participant's Name*

First Last

Date of Birth*

Gender*

Diagnosis*

City (Residence)*

Does the participant have allergies that require medical attention?*

Yes

Allergies that require medical attention*

Other medical conditions we should be aware of?*

How does the participant communicate?*

Does the participant exhibit any behaviours that may prevent them from being in a group or participating in activities?*

Yes

Can the participant independently follow simple directions in a group?*

Yes

Will the participant be available to attend all sessions?*

Yes

Parent/Guardian's Name*

First Last

Relationship to Child*

Phone #*

Email*