$55 per session (choose the dates you want to join)

$55.00/each

Parent's name

Participant's Name

Age of participant

Participant's Sex

Participant's Date of Birth (so we can celebrate too!)

Participant's Diagnosis

Dates Attending

If wanting to attend more than one, please not that here with the specific dates (program doesn't enable more than one to be selected above). Ensure payment is provided for all selected (choose the number of days at top):

Will a helper / caregiver will be attending to be with the participant.

What are the participant's interests and strengths?

In which areas does the participant require support?

Please explain

Are there any medications that would need to be given during the program running from 1:30 pm to 4:30 pm? If so, how will they be administered?

Which group would this participant want to be part of?

How would the participant handle not wanting to participate in an activity?

Is there anything else we should know about the participant? (e.g., flight risk, allergies, food sensitivities, etc)

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CCC Hangouts 2026 Payment

Please choose the date(s) your adult participant will be attending.

Pricing: $55 per session

Choose the sessions you want to sign up for and pay the relevant fee.

A receipt will be sent to the email provided.

You will be sent registration forms to complete once you have enrolled. These forms need to be completed and returned BEFORE attending!

$55 per session (choose the dates you want to join)

CCC Hangouts 2026 Payment

Please note that we plan, prepare, and staff based on the numbers who pay and say they will attend. For this reason refunds can not be provided.