FS - Charles River Center Monthly Social Registration Form

Charles River Center Monthly Social Registration Form
May 2026 Social

This Month's Theme: Back to the 80s!

NEW DATE!

May 15, 2026
Our Monthly Socials are for Individuals aged 16+.

They are held on Fridays from 6:30 p.m. - 8 p.m., meeting at
59 East Militia Heights Drive, Needham, MA 02492.

Everyone must be accompanied by a chaperone.

$10 per Individual
(Free for chaperones)

Please contact FamilySupport@CharlesRiverCenter.org with any questions.
Monthly Social
Individual's Name

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Individual's Age
Individual's Birthdate

MonthDayYear
Date
Individual's Primary/Secondary Disability
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Contact Info (if different from Individual's)
Chaperone's Name

First NameLast Name
Should be Empty: