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Membership
Central West – Martial Arts Program for Ages 12-17 in Brampton
This event is currently full. However you can register now and get added to a waiting list. You will be notified if spaces become available.
Registration Profile
First Name
*
Middle Name
Last Name
*
Email
*
Phone
*
Address
*
Address 2
City
*
Country
*
- select Country -
Canada
United States
Province
*
- select State/Province -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Postal Code
*
Languages spoken at home
*
English-Anglais
French-Français
Arabic-Arabe
Bengali-Bengali
Cantonese-Cantonais
Cree-Cri
German-Allemand
Hindi-Hindi
Inuktitut-Inuktitut
Italian-Italien
Mandarin-Mandarin
Ojibway-Ojibway
Persian (Farsi)-Persan (farsi)
Polish-Polonais
Portuguese-Portugais
Punjabi-Pendjabi
Russian-Russe
Spanish-Espagnol
Tagalog-Tagalog
Tamil-Tamil
Urdu-Ourdou
Vietnamese-Vietnamien
Other Indigenous Language-Autre langue autochtone
Other Language-Autre langue
Child 1 with ASD
First Name
Last Name
Birth Date
Identifies As
- select Identifies As -
Female
Male
Non-Binary
Other
Prefer Not to Say
Child 2 with ASD
First Name
Last Name
Birth Date
Identifies As
- select Identifies As -
Female
Male
Non-Binary
Other
Prefer Not to Say
Child 3 with ASD
First Name
Last Name
Zip
Birth Date
Identifies As
- select Identifies As -
Female
Male
Non-Binary
Other
Prefer Not to Say
Child 4 with ASD
First Name
Last Name
Birth Date
Identifies As
- select Identifies As -
Female
Male
Non-Binary
Other
Prefer Not to Say
Waivers
It is recommended that participants consult their physician prior to the start of any physical activity. By registering for or participating in an Autism Ontario program or event, participants agree that they are and will be voluntarily participating in these activities and assume all risks of injury or death, which might result from these activities.
Waiver #1 - Consult Physician
I agree
I acknowledge and understand that supervision of children/youth is the sole responsibility of parents/guardians and caregivers and release Autism Ontario, its employees, officers, director and agents from all claims arising from any accident, death or injury which is caused by or arises from participation in any Autism Ontario event. This includes in-person and on-line events.
Waiver #2 - Adult Supervision
I agree
I understand that tickets are non-transferable unless otherwise posted.
Waiver #3 - Tickets are Non-Transferable
I agree
I understand that cancellation and refunds are not permitted unless otherwise posted.
Waiver #4 - Cancellation
I agree
I understand that this event is only for people with ASD, and their immediate family, who reside in Ontario.
Waiver #5 - Open to Families of Children w ASD
I agree
Due to allergies and sensitivities, please refrain from wearing perfume, cologne, aftershave, or scented products such as hairspray or lotion.
Waiver #7 - Allergies
I agree
Review
This is not my primary address
Number of tickets
# of Children with ASD
1
2
3
4
None
url
timestamp
About Us
About Us
Mission/Vision/Values
Our History
Our Team
Annual and Financial Reports
Awards
Our Partners
Get Involved
Share your Stories!
Volunteer
Careers
Donate
Where to Donate
Ways to Donate to Autism Ontario
Corporate and Foundation Donors
Celebrate the Spectrum School Giving Challenge
Our Committment to Ethical Fundraising
Newsletter Signup
Privacy/Accessibility/Social Media Terms of Use
Memberships & Subscriptions
Contact Us
About Autism
What is Autism?
Getting a Diagnosis
Diagnostic Terminology
Research
Research Participation Postings
Guidelines for Research Postings
Research Highlights
Autistic Creativity
Autistic Blog Posts
Learning Resources and Creative Writing
Programs & Services
Adults
Adult Assessment
Awards and Funding
Building Brighter Futures Fund
Scholarships
Hollylynn Towie Scholarship
David Conforti - Reach for the Stars Award
Government Funding for Adults
Mental Health Resources
Strong Minds through Active Bodies
Transition Resources
Housing Resources
Autism Career Connections
Job Seekers Courses
Personal Finance Course
Employers & Hiring Managers Courses
Children & Youth
AccessOAP
Community Events
Family Supports
Planning for the Future
School Supports
IPRC
IEP
School Advocacy Toolkit
March Break Funding
FAQs
New Diagnosis Resources
OAP Information Sessions
Special Education Advisory Committee (SEAC)
Summer Support Funding
FAQs
Transition To Adulthood Resources
French Language Services
Learning Resources
Autism Matters Magazine
Positive Advocacy Resources
Special Education Advisory Committee (SEAC)
School Advocacy Toolkit
Political Advocacy Toolkit
Provincial Election 2022
Federal Election 2021
Webinars
Find a Provider
OAP Provider List
CommunityConnect
Find a Region
Events
News