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Home
About Us
UCF Board Members
Junior Board Members
Press
>
Unicorn In the News
Press Releases
Programs
Boca School for Autism
Evolution and Past Programs
Get Involved
Attend an Event
>
2023 Walk the Walk
Your Chance to Win!
Support Boca School for Autism
Supporters
>
Community Partners
Visionary Society and Order of the Unicorn
Contact
Accessibility Tools
Unicorn Connection Hub: Virtual Class Registration Form
When you click Submit, you will be automatically redirected to a shopping cart to choose your class(es) and complete payment. You may sign up for as many classes as you'd like. You will not be registered for classes until payment is complete.
STEP 1:
Complete this application below and click submit
STEP 2:
Select your courses and complete payment
*
Indicates required field
Name
*
First
Last
I have already completed this form. I'd like to sign up for more classes. NOTE: You do not have fill out the rest of this form if you have already completed this step.
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Yes
No
Email
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Cell Phone Number
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Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Age
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What is your disability?
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If not applicable, write n/a.
Have you participated in virtual classes or offerings before?
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Yes
No
If not applicable, write n/a.
Have you attended classes or meetings on zoom?
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Yes
No
If you have experience with Zoom, are you able to navigate the features (mute/unmute, login/out) independently?
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Yes, I can manage Zoom meetings by myself.
I can mute/unmute but need some help with other features.
I need help to navigate Zoom meetings.
Please describe your ability to verbally communicate.
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I can participate in activities but do not use verbal language.
I communicate, either verbally or with a communication device, with single words or small phrases when prompted.
I can respond, either verbally or with a communication device, in full sentences when prompted.
I can participate in back and forth conversations independently.
Please describe your ability to read and write.
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I need assistance with reading and writing.
I am able to read and write some words.
I am able to read and write most words.
Reading and writing is not difficult for me.
What supports or accommodations would help you learn best?
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3 activities I enjoy doing are:
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I am interested in learning:
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For Job Club participants Only: Do you have a job?
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Yes
No
For Job Club participants Only: If yes, what is the name of the company you work for and your job title? How many hours per week do you usually work?
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For Job Club participants Only: Are you currently laid-off due to COVID-19?
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Yes
No
For Job Club participants Only: If yes, what are you doing with your extra time off?
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For Job Club participants Only: Are you currently looking for a job? Do you know what kind of job you would like to have?
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Yes
No
For Job Club participants Only: If so, what type of job would you like to have?
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How did you hear about our programs?
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I grant permission to Unicorn Children’s Foundation to use photographs/video footage of me for marketing and promotional materials (e.g. brochures, slides, website, advertisements) or for the release to the media.
*
I grant permission
I do not grant permission
Submit
**Thank you for your support in building a compassionate and inclusive community.**