Social Night Payment Form

Social Night

**COVID PROTOCOL**

 

All Staff, Clients and Visitors must show proof of vaccination.

We are following all COVID protocols as outlined by Public Health.

Programs are open to participants who can be in our programs in safe and independent ways,

or who can bring a support worker for personal care and engagement.

Thank you for understanding.

COST

 $45 per evening without a worker

$25 per evening with a worker

 

Please enter the number of days you would like to pay for and then select which dates your young adult will be attending:

 

Note that Registration closes the Thursday before Social Night. Please pay and register your young adult before then to ensure their spot.

 

Dates*
Quantity
Price
Total
Number of Days
X
$
45.00=
$
0

Number of Days with a Worker
X
$
25.00=
$
0

Final Total:
$
0

Contact Information

Clients Name
Country*
Email*
Confirm Email*
Phone*

Registration Details

To Register, you must complete all of the following:
1. Application Form
2. Agreement of Waivers
3. Photo of Teen***
4. Payment


Confirmation and receipts will be issued when above requirements are complete.

 

Payment must be made by 4pm on Monday before the scheduled program date. 


We are unable to issue refunds without adequate notice. 

If your teen cannot attend certain days, please email recreation@redroofretreat.com or call 289-362-6104 by the Thursday before the scheduled date. You will be reimbursed in January for any program days your teen did not attend from October - December and in May for days not attended from January - May.

 

If your teen is new the program please contact our Recreational Program Coordinator at the information below to receive more information.

 

recreation@redroofretreat.com or (289)362-6104

Payment Information

Amount*
$
After you complete this form, select Submit to enter your payment details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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