OWLS Registration Form – Down Syndrome Association of Hamilton

Participant Name *

New or Returning Participant? *

New
Returning

I am registering for *

While we make every attempt to place same aged peers together, we do reserve the right to change the group ages at any time.

This program is waitlisted.

We encourage you to fill out the form below. If a spot becomes available we will contact you.

This program might be waitlisted.

We encourage you to fill out the form below. If a spot becomes available we will contact you.

Participant Age as of Jan 1 2026 *

Participant Grade

n/a if not in school

What School Board does your participant attend?

Participant Support Needs:

Use the space below to provide more details or other support needs.

Provide more details about support needs here if needed;

Specific learning objectives/goals for the participant: *

What do you hope the participant gains from attending?

Speech and Language Services *

Yes, I want my child/adult to receive speech and language services for the duration of the program.
No, I do not want my child/adult to receive speech and language services for the duration of the program.

Speech and Language Services are provided by Monica Knott and / or Natalie May, SLP and paid for by DSAH.

Participant Strengths *

Participant Challenges *

Participant Interests & Extra Curricular Activities *

Tell us about things your student is interested in. How do they like to spend their free time? What other activities do they participate in?

Parent Caregiver Name *

Parent Caregiver Name 2 *

Phone *

In case of emergency, this is the number we will contact.

Parent Caregiver Phone 2 *

Email *

Acknowledgement

This program is provided free to our members. Space is limited. Participants are asked to commit to attending all sessions in order to fully benefit. Not attending regularly will result in removal from program and your spot will be given to another family on the waiting list.

I understand *

Yes
No