Registration for Ready To Launch 2024
Thank you for your interest in attending the Ready to Launch: Transition Group for Youth at Epilepsy Toronto.

This four week virtual group will provide practical information and supportive discussions to prepare youth with epilepsy for the transition to adulthood. Topics will include: post-secondary education, employment, navigating the adult health care system, and living independently. Each session will feature breakout group discussions and guest speakers - professionals working in the fields of employment, health care, and post-secondary education, as well as young adults and their parents with lived experience of epilepsy. 

The group is open to youth in grades 11 through to post-secondary, together with their parents/caregivers.

Dates: Thursday evenings, November 7 - 28 (four weeks) from 7:30 - 9:00 pm on Zoom

Please contact katie@epilepsytoronto.org if you have questions or would like more information.
Sign in to Google to save your progress. Learn more
Name of Youth:
Name(s) of Parent/Caregiver:
Youth's date of birth:
MM
/
DD
/
YYYY
Youth's email address:
Parent/caregiver's email address:
Parent/caregiver's phone number for emergency contact:
To ensure we create a program that is matching the goals of your family, please share what your goals are / your child's goals are for participating in our Ready to Launch group?
Please provide a brief description on the youth's seizures to have on file (seizure types, typical length, frequency, triggers, etc). Include anything you feel is important for us to know, while the group is in session.
What would you like us to do in case of a seizure event, while participating in a virtual group?
Accessibility needs: Is there anything else you'd like staff to know, be aware of, or ways we can support you during the virtual group sessions?
How did you learn about the Ready to Launch transition program? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Epilepsy Toronto.

Does this form look suspicious? Report

Google Forms