Registration Form: ADP Registered Programs
Brain Injury Association of Durham Region
Select the program(s) you would like to register for
Pool Tournament: Monday 2pm - 4pm
Stained Glass: Monday 1pm - 3pm
Karaoke Group: Tuesday 1pm- 2pm
Art Class Tuesday 2pm - 4pm (please only register if you are not in the Thursday group)
Pool Tournament Tuesday 2pm - 4pm
Music Program: Tuesday 10am - 12pm
Craft Room: Thursday 10am -12pm
BIAD News Room: Friday 10am - 11am
Knitting/ Crochet Group: Friday 1pm - 2pm
Email Address
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Full Name
*
First Name
Last Name
Should be Empty: