INSTRUCTIONS: Please provide your information in the fields below to register for our support group (Bundle of Supports). This should be completed by the individual who is planning to attend the group. Please ensure that you include a response for all fields with an asterisk (*).
Dates: 6-week program starting on Thursday, November 4th - Thursday, December 9th from 10:00 - 11:30am.
This field is not part of the form submission.
* indicates a required field