LEAP! Youth Program Registration Fall 2018
Fall 2018 Session September 11 - November 13, 2018
10 Tuesdays 6:30 - 8:30 PM

LEAP! teaches hard of hearing youth important life skills like leadership, speech reading, and social skills in a supportive, relaxed group environment. These skills are important for school, employment and the future. Leap! is open to hard of hearing youth ages 13-18 in Newfoundland and Labrador.

Today's Date (Date of Application) *
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Youth's Name (First and Last) *
Your answer
Youth's Date of Birth *
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Full Mailing Address (Street, City/Town, Postal Code) *
Your answer
Parent/Guardian Name (First and Last) *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian E-mail Address
Your answer
Please list below if there are physical or learning accommodations required for your teen that will help them succeed in LEAP!
Your answer
At LEAP! we will be taking pictures and/or videos. Please review the Photo Release form and either email (bhiscock@chha-nl.ca) or send a physical copy in with your child on the first day of LEAP! Forms can be found on the Web page www.chha-nl.ca/programs/children-and-youth/leap/
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