Independent Living Group Registration

Independent Living Group Registration
This workshop will be offered virtual via zoom. The program is designed for young adults and adults with disabilities to learn independent living skills in a fun and safe environment. In this program, participants will explore the topics self-advocacy, disability identity, time management, banking and budgeting, transportation, housing, home and self-care, conflict resolutions, and decision making through discussions and activities. The program will meet weekly at 10am -11am on Tuesdays starting June 10th
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Birthdate*

MonthDayYear
Date
What is the best way to contact you?
Do you have a disability?*
What is your disability?*
Do you need an accommodation to join us on zoom? If so, please let us know how to help.
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