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Do you need any support with\u003Cbr>reading, writing, or understanding written documents?  YES  NO\u003Cbr>If you do need support, who helps you with this? |  |  |  |  |  |  |  |  |  |  |\n| It is the individual’s responsibility to get to and from the group’s community activities. Will you require assistance\u003Cbr>from a support staff to help you access the program?  YES  NO\u003Cbr>Please describe the type of assistance you require: |  |  |  |  |  |  |  |  |  |  |\n| Please indicate your means of transportation to and from the group?\u003Cbr> ACCESS Calgary  Calgary Transit  Staff Vehicle  Other (please specify): |  |  |  |  |  |  |  |  |  |  |\n| Medical Needs |  |  |  |  |  |  |  |  |  |  |\n| Are there any medical concerns (e.g. seizure disorders, allergies, etc. ) that we need to be aware of in case of an\u003Cbr>emergency?  Yes  No\u003Cbr>If Yes, please list here: |  |  |  |  |  |  |  |  |  |  |\n| Do you have any allergies (e.g., food, environmental)?  Yes  No\u003Cbr>If Yes, please list here: |  |  |  |  |  |  |  |  |  |  |\n\nFriendships and Dating Application Form ‐ Amendable Dates ‐ V1 .0 ‐ 2023‐09‐05 Page 1 of 2  \n| Additional Information |\n| --- |\n| Friendships and Dating will be running two programs, a fall and winter course. Which session would you like to\u003Cbr>attend?  October (submit this application by September 18, 2023)\u003Cbr> February (submit this application by January 15, 2024)\u003Cbr>Enrollment in the Friendship and Dating program is limited, if you do not get a spot, would you like to be placed on a\u003Cbr>wait list for future classes?  Yes  No |\n| Friendships and Dating is a ten week program that focuses on both class and community learning opportunities. The facilitators of this program will do our best to plan as many free community activities as possible, however there maybe some activities that cost money. Please indicate what you can afford on a weekly basis to participate in the program:\u003Cbr> No budget  $0‐$5  $5‐$8  $8‐$12  $12‐$15\u003Cbr>Do you have annual memberships to any community organizations (e.g., Calgary Zoo, YMCA, Telus Spark, Heritage Park, etc. ):  YES  NO\u003Cbr>If YES, please specify:\u003Cbr>Do you have a City of Calgary Fair Entry card?  YES  NO |\n| Further Information |\n| What do you want to learn or get from this course? |\n\nIf you have any questions about the Friendships and Dating Program, or this application form, please contact the CASS office at (403) 283‐0611 or email [friendship@c‐a‐s‐s.org](friendship@c‐a‐s‐s.org)  \nPlease submit this form via email to [friendship@c‐a‐s‐s.org](friendship@c‐a‐s‐s.org) or in person at the CASS Main Office.  \nFriendships and Dating Application Form ‐ Amendable Dates ‐ V1 .0 ‐ 2023‐09‐05 Page 2 of 2","cbCaiiVQ8BS9xAPC","https://ap.wps.com/l/cbCaiiVQ8BS9xAPC","pdf",329360,"English","# Applicant Information\n## Communication/Assistive Needs\n## Medical Needs\n## Additional Information\n## Further Information","[{\"question\":\"What personal and contact information does the form request?\",\"answer\":\"It asks for the applicant’s name, gender identity (optional), pronouns (optional), age, phone number, email, and full address including city, province, and postal code.\"},{\"question\":\"How does the form handle legal guardian information?\",\"answer\":\"It asks whether the applicant is their own legal guardian. If not, it collects the legal guardian’s full name and contact information.\"},{\"question\":\"Which program session choices and submission deadlines are included?\",\"answer\":\"The form offers an October session (submit by September 18, 2023) and a February session (submit by January 15, 2024), plus an option to be placed on a wait list for future classes.\"}]","Friendship and Dating Program Application Form - Version 1.2 - Submission dates | PDF",1789826117]