EQUIP Summer Series 2017
* Space is filling up quickly! Once registration has reached capacity we will create a wait-list! You will be contacted with more information after registration has closed. *

EQUIP Summer Series is a 6-week self-advocacy, disability pride, and skill-building opportunity for young adults with disabilities ages 13-28. Summer Series will meet in both our Midlands (Columbia) and Upstate (Greenville) office locations once a week for 6 weeks to build skills that assist young adults with all disabilities to increase their independence.*

To attend EQUIP Summer Series, all registration forms MUST be filled out completely and submitted to Able South Carolina no later than July 1, 2017.*

A registration form must be completed EVERY year, regardless if the young adult attended in previous years.
Space for Summer Series is limited and you may be placed on a wait-list; so be sure to register early!
(Please note: Due to limited space, applicants who show up to the Summer Series without registering will not be able to stay and participate. They will be placed on a wait-list and notified if a slot becomes open.)

Summer Series 2017 Time and Dates:

Thursdays from 10:00am to 4:00pm

July 6
July 13
July 20
July 27
August 3
August 10


Locations:

Midlands: Able SC Office – 720 Gracern Rd, Ste 106, Columbia, SC 29212

Upstate: Able SC Advocacy Center – 1 Creekview Court, Ste A, Greenville, SC 29615

Columbia: Greenville:
Phone 803.779.5121 Phone 864.235.1421
Fax 803.779.5144 Fax 864.235.2056
TTY 803.779.0949 TTY 864.235.8798


*TRANSPORTATION IS NOT PROVIDED BY ABLE SOUTH CAROLINA
**ALL PERSONAL INFORMATION WILL BE KEPT CONFIDENTIAL AND ONLY SHARED WITH FEDERAL FUNDERS WHEN REQUESTED.

Email address
First and Last Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Street Address
Your answer
City
Your answer
County
Your answer
Zip Code
Your answer
What is your disability or disabilities?
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last four digits of Social Security number
Your answer
Age
Your answer
Name of School
Your answer
Ethnicity
Do you identify as male or female?
What are your preferred pronouns?
What is your race?
Your answer
Are you married?
Are you employed?
Are you a registered voter?
How did you hear about EQUIP?
Your answer
Do you have any medical symptoms we should be aware of (seizures, migraines, fainting, etc.)?
Do you use a wheelchair?
Do you need assistance with reading or writing?
Do you take medication that you will need to take while you are at Summer Series?
Do you have any food allergies?
What food(s) are you allergic to?
Your answer
Do you have any non-food allergies?
What are you allergic to?
Your answer
Do you ever get overwhelmed and need a quiet place to calm down?
A copy of your responses will be emailed to the address you provided.
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