Making Connections Registration - Laurel Behaviour Support Services

ABOUT YOU

I would like to register for the event in:(Required)

Salmon Arm on September 26, 2025

Salmon Arm on October 10, 2025

Vernon events have been cancelled. Email Laurel@posAbilities.ca to be added to the mailing list for future events

Name(Required)

First Last

Date of Birth(Required)

Preferred Pronouns(Required)

Phone(Required)

Email(Required)

Do you require support to participate in this community event? Please describe.

Are there any behaviours or support needs we should know about that could make being in a group harder? (e.g., difficulty following instructions, physical aggression, loud outbursts, leaving the group unexpectedly, etc.) Please describe.

Tell us a bit about your hobbies or things you like to do.

EMERGENCY CONTACT

Who do you want us to call if there’s an emergency?

Name(Required)

First Last

Phone Number(Required)

Emergency Email(Required)

Relationship to you(Required)

Accessibility

ABOUT YOU

EMERGENCY CONTACT