Participant Registration 1

Unified Social Club – Upcoming Event

Date:July 24 Time: 6:30 PM – 8:00 PM

Location: Oak Room Mickey Cafagna Community Center

Cost: Free Who’s Invited: Adults 18+

Hosted By: Unified Social Club

🔸 About the Event

A high‑energy, welcoming social night for adults with special needs. Music, games, snacks, and a supportive environment designed for connection, confidence, and fun.

🔸 What to Expect

• Friendly volunteers • Light snacks and drinks • Music and social activities • A safe, structured environment • Plenty of space for conversation and connection

🔸 What to Wear

Comfortable clothing and a SMILE

First name

Last name

Phone

Will you bring an Aide?

yes

Name and phone number

How did you hear about Social Club?

Newspaper

Social Media

Friend

Referral from program

I have read the photo release in FAQ section #10 and agree

Yes