Inscription activités ado profil autiste | TUOI

Administration

Category and profile of participant

ADO - 13 à 21 ans

Person filling out the form

First Name of the person filling this form

Last Name of the person filling this form

Email

To which e-mail address should we send the service confirmation?

Person in charge of registration phone number

Participant information

First name

Last name

Date of birth

I want to register for Respite offered on Saturday

Respite is offered

Once a month
on Saturday from Noon to 4 pm
From September 22d to December 20th, 2025
Cost: $15 per day

Saturday Teen Respite

Yes

No

I want to register for Teen Social Club offered on Friday

Teen Social Club is offered

To teens aged 15 to 19 who are autonomous and functional
Once a month
on Friday from 6:30 to 8:30 pm
From September 22d to December 20th, 2025
Cost: $10 per evening

Social Club

Yes

No

Comment or additionnal information to share

Comment