My Secret Superpower
LDACK is excited to offer this new and exciting program intended to help youth in Chatham-Kent aged 12 to 15 identify their strengths, celebrate their uniqueness, foster self-esteem, and use positive self-talk. This small group will meet virtually for two weeks from July 19 to July 29, Monday to Thursday at 11am to 12pm. Participants will receive a material package and incentives for participation. The cost is $80 for members and $112 for non-members (membership fee is $50 annually). This program is made possible by Chatham-Kent Community Foundation and South Kent Community Fund. Please complete the registration form below with the necessary information.
Grade completed in June 2021
Address where supplies will be delivered
Street Address Line 2
Has the participant been identified with a learning disability?
Has the participant been identified with ADHD?
1. Guardian Name(s)
First and last names of one or both guardians
Please enter a valid phone number.
How did you hear about this program? Has your child been enrolled in any of our programs previously?
Date of application
The Zoom link will be e-mailed to you closer to the start date. Students are not considered enrolled until payment is received. Payment may be made via email money transfer to LDACK@netrover.com or cheque to PO Box 1424, Chatham ON N7M 5W8. If paying by e-transfer, please make your security question your child's name. If payment in full is not possible, please email LDACK@netrover.com to discuss payment plans. Talk to our staff if you have questions about becoming a member.
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm