Do you know a child or youth with a disability that could benefit from our services? Register them here for LEAD and we will be in contact to determine which are a good fit for your youth.

“*” indicates required fields

Participant Name*

First Last

Participant Age*

Special Needs & Diagnoses*

Adult Name*

First Last

Adult Email Address*

Adult Phone Number*

Additional Information (optional)

Comments

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Register for LEAD