2025 Peer Connect | Registration Form Logo
  • 2025 Peer Connect Registration Form

  • Thank you for your interest in CherishAbility's Peer Connect Program.

    Peer Connect features:

    • Customized hangouts in small, interest-based groups
    • An emphasis on social skills—learning and practicing through fun activities
    • A supportive and joyful environment
    • Trained CherishAbility facilitators 

    The registration form takes approximately 10 minutes to complete, and your thoughtful responses help us customize the hangouts for your loved one. 

    After you complete the form, we'll contact you to share information about your loved one's Peer Connect group. 

     

  • Parent/caregiver information

  • All about your loved one...❤️

    This section is dedicated to learning more about your loved one so we can do our best to thoughtfully embrace and engage them.
  • Themed Groups

    New this year, you can select favorite themes to make your loved one’s Peer Connect group extra special. Please see information about each theme below.
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  • As a participant of this program, your loved one will hang out with their group for one hour, once per week, for four consecutive weeks. On the chart below please select ALL times that your loved one is available. **Please keep in mind that we expect a parent or caregiver to be close by to offer support if needed.**

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  • Multimedia Release Agreement

  • MULTIMEDIA RELEASE AGREEMENT

    CherishAbility reserves the right to use photos, video footage, and/or fruitage of staff, adult participants and guests from CherishAbility funded activities in printed and electronic publications.

    This agreement grants CherishAbility the right to publish, distribute, and share such images, as described above for the following uses:

    ● Print

    ● Electronic media, including publications in PDF format, Websites and Social Media

    ● Audio/Video

    ● Promotional Uses (without attributions)

    Submitted images become the property of CherishAbility and will not be shared with other organizations without written consent of the person(s) appearing in the photo(s) and/or video(s).

    CherishAbility reserves the right to modify such images, at its discretion. This agreement also authorizes CherishAbility to store images internally for future reference and reuse.

    It is our policy not to credit individuals whose images and/or fruitage have been submitted for use in these publications, unless specifically requested and authorized.

    All shared images shall be the original work of the person sharing the images and are not to violate any copyright, contract, or other property rights of any person or organization.

    The signee is not to share such images with other organizations for commercial use without CherishAbility’s explicit written consent. Such images can be used for personal and professional portfolio purposes.

    Acceptance of this policy is assumed unless otherwise communicated in writing to CherishAbility. It is the responsibility of participants, chaperones, guests, or their legal guardians/conservators/caregivers to submit, in writing, exclusion from all multimedia/photo publications.

  • Participant Online Agreement

  • Youth organizations are required to include an Online Agreement and obtain a parent/caregiver signature for all participants who are minors.

    Please take some time with your loved one(s) to go over these guidelines if he/she is a minor.

    Or mark "n/a" if your loved one is an adult.


    As a participant, I acknowledge the Zoom meeting spaces to be inclusive and welcoming for everyone. To hold this virtual safe space collectively, I agree to treat fellow participants and staff with love and respect.


    As a parent and/or caregiver, I acknowledge that while CherishAbility is providing programming for my loved one(s), staff cannot take full supervision. Therefore I will not leave my loved one(s) unattended for the duration of the online activity.

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  • Payment and Financial Assistance Information

    The cost for one session of Peer Connect is $130/participant. There are four hangouts in a session.

    Additionally, facilitators may ask that parents/caregivers provide and/or purchase a minimal amount of materials, such as cooking ingredients or downloadable handouts.

    Finances should not prohibit participation. As with all of our programs, financial assistance is available by completing CherishAbility's online Financial Assistance Application—please click here.

    Tuition is due by the first hangout of a session.

  • *Online payment options:

    To make a payment, use the PayPal button below.

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      2025 Peer Connect
      $130.00
        
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    • Choose from one of the PayPal options to make your payment.

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