APSM - Women's Circle - Winter | Spring 2026 Logo
  • WOMEN'S CIRCLE Winter & Spring 2026 Registration Saturdays 

  • A. Participant Information

  • Welcome to Adrian's Place. This women's only class offers a safe, supportive space to connect, grow and shine.  Through weekly themes, activities, and open conversations, participants will build self-esteem, strengthen friendships, and learn essential life skills, all while having fun and celebrating what it means to be in community with other young women.  

    WINTER QUARTER COURSE

    January 10, 2026 - March 28, 2026

    Saturdays: 12:30 PM - 1:30 PM

    Ages 13+

    12 Session Course $900.00 (Including all materials)

     

    SPRING QUARTER COURSE

    April 11, 2026 - June 13, 2026

    Saturdays: 12:30 PM - 1:30 PM

    Ages 13+

    10 Session Course $750.00 (Including all materials)

     

    Registration Forms and Payment must be turned in prior to participation in any activity. 

    For Regional Center: Contact your service Coordinator and provide Vendor Code: PW8803, service code: 063. We need to receive Purchase of Service Approved.

    Location: Adrian’s Place Santa Monica, 1806 Lincoln Blvd, Santa Monica, CA 90404

    * Participants need to commit to ALL sessions in a quarter as there is no refund if a class is missed.  

    * All participants must be self-sufficient or have an aide for support.

    *This class is intended for participants who are motivated to learn new skills.

    *We are Regional Center Approved vendor.  Vendor Code PW8803

    If you have any questions, contact us at 310.581.8101 or info@AdriansPlaceSM.com.

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  • B. Parent/Guardian Information

  • *IMPORTANT: Please be aware that we hire staff based on the total number of participants. Therefore, there are no refunds for missed days during the course.

  • C. Emergency Contact Information

    Please list the name and contact information to contact in an emergency/authorized to pick up your participant.
  • Emergency Contact 1

  • D. General Intake Information

  • Participant General Information 

  • Tell us about your Participant

  • I. Adrian’s Place Policy and Procedure

    Health and Safety:  If your participant is experiencing any symptoms of illness, please keep them at home and notify us of their absence. 

    Attendance:  In the event that your participant will be absent, please notify us.        

    Support Aide: If your particpant requires additional support, you will need to provide a one-to-one support aide. Participants in need of one-to-one support must arrive with support or they will not be permitted to participate in the class.

    Bathroom: Due to our program design and liability coverage, we are not permitted to assist participants in the restroom. Therefore, ALL participants must be bathroom independent in order to attend to our class or must attend with one-to-one support. 

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  • ADRIAN’S PLACE ASSUMPTIONOF RISK / RELEASE OF LIABILITY / INDEMNIFICATION AGREEMENT

  • As consideration for permission to enter onto the real property located 1806-1808 Lincoln Blvd., Santa Monica, CA 90404 (“Property”) to attend various gatherings, including but not limited to, time before and/or after an activity, unorganized free time, participation of any organized recreational, educational or therapeutic activity, movie nights, potlucks or other similar social gatherings organized by or in association with Adrian’s Place Santa Monica, LLC, (“Company”) the undersigned acknowledges, appreciates, willingly and with full knowledge, agrees that:

    1. Entering onto the Property inherently includes possible dangers, including but not limited to personal injury, and possible death, damage to personal property or exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19. While rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

    2. I, ON BEHALF OF MYSELF OR FOR THE MINOR IDENTIFIED BELOW, KNOWINGLY AND FREELY ASSUMES ALL SUCH INHERENT RISKS, both known and unknown, EVEN IF ARISING FROM THE ACTIVE OR PASSIVE NEGLIGENCE OF others, and assumes full responsibility for participation; and,

    3. I recognize the importance of complying with, and I will ensure that I or the Minor fully complies with, any applicable laws, policies, rules, instructions, and posted warnings entering on to the Property. Minor and I understand that if we believe anything on the Property may be unsafe, we will advise a Company representative and may refuse to enter on the Property. Entering onto the Property and remaining on the Property shall constitute consent to these terms. 

    4. On behalf of myself or the Minor, HEREBY RELEASE AND HOLD HARMLESS the Company, directors, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE ACTIVE OR PASSIVE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. Further I or on behalf of the Minor agree to defend the Company for any and all claims, suits, allegations or action brought against the Company arising out of, relating to or based in any way out of such presence on the Property, regardless of the doctrine of comparative fault.

    5. I agree that if any portion of this contract is held invalid, the remainder will continue in full legal force and effect. I understand and agree that the law of the state of California shall apply. I agree that all disputes shall only be brought in the State Court of California without regard to the choice of law doctrine. I agree to the personal jurisdiction of California to adjudicate any such dispute.

     

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