Bravenet Contact Forms
Comox Valley Autism Social Sunday Registration
Please fill out the fields below.
Participant's Full Name
Participant's Date of Birth
Participant's Support Needs
Participant Safety Concerns
What activities would you like to see?
Please attach a recent photo of Participant
Which Social Group(s) are you interested in?
2 - 5 Yrs Parent & Tot
5 - 9 Yrs Kids
9 - 14 Yrs Preteens & Teens
Parent/Caregiver's Full Name
Parent/Caregiver's Email Address
An adult is required on site for participant(s) under age 13 or those needing specialized support
Over age 13
Adult remaining on site
Questions, concerns or accommodation requests.
Submit Registration Form
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