Live Test Forms

Member Information

Member's Name(Required)

First Last

Enter Member's Age(Required)

Is the Member the Primary Contact?(Required)

Yes

No

Primary Contact Name:(Required)

First Last

Relationship to Member(Required)

Parent

Other Family Member

Other

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Primary Contact's Email:(Required)

Updated Member Paperwork

Max. file size: 50 MB.

Please share any updated versions of your member’s IEP, Behavior Support Plan, Seizure Response Plan, guardianship paperwork, medical documentation or any other forms that reflect the most current information for yout member:

Weekly Programs (18+)

Sunday Fun Day! $940

8/30-12/13 (14 weeks) | No program 9/6 & 11/22 | 10am-3pm | Sunday Fun Day is now a full-day program and runs as a separate program from Sunday Explorers during the same hours.

Sunday Explorers (22+) $1,030

8/30-12/13 (14 weeks) | No program on 9/6 & 11/22 10am-3pm This program runs as a separate program and at the same time as Sunday Fun Day.

Monday Night Bowling – $480

8/31-12/14 (13 weeks) No program 9/7, 9/21, 11/23)

Monday Night Sweet Treats – $450

8/31-12/14 (13 weeks) | No program 9/7, 9/21, 11/23

Anime Club (13+) $150

9/14, 10/19, 11/16, 12/7 6:30pm – 8:30pm

Tuesday Night Art – $560

9/1-12/15 (15 weeks) | No program 11/24

Wednesday Night Sampler – $680

9/2-12/16 (15 weeks) | No program 11/25

Thursday Bingo- $500

9/3-12/3 (13 weeks; no program 11/26) Please note: This program runs as a separate program and at the same time as Ladies Night & Guys Night.

Thursday Ladies Night – $280

7 weeks; 9/10, 9/24, 10/8, 10/22, 11/5, 11/19, MIXER (With Guys Night): 12/3 Please note: This program runs as a separate program and at the same time as Thursday Bingo.

Thursday Guys Night – $280

7 weeks; 9/3, 9/17, 10/1, 10/15, 10/29, 11/12 MIXER (With Ladies Night): 12/3 Please note: This program runs as a separate program and at the same time as Thursday Bingo.

Dating 101 (18+) – $240

6 weeks; 9/3, 9/17, 10/1, 10/15, 10/29, 11/12 Time: 7:00pm – 8:30pm

Living Your Best Life! (18+) – $240

6 weeks; 9/10, 9/24, 10/8, 10/22, 11/5, 11/19 Time: 7:00pm – 8:30pm

Friday Night Music – $480

9/4-12/18 (14 weeks; no program 10/30, 11/27)

Saturday Hangout (18+) – $990

9/5-12/19 (15 weeks; no program 11/28) Supervisor: Hope W: [email protected]

Saturday Out & About (23+) – $1,110

9/5-12/19 (15 weeks; no program 11/28) Supervisor: Hope W: [email protected]

Harvest Dance (18+)

Harvest Dance – $40

Friday, 10/30 | 7pm – 9pm

Grand Total

Adult Events & Excursions (18+)

All CEL events take place onsite at CEL. For excursions, please review the program guide for more information.

Art in Motion: $60

Sunday, 8/30 | 4pm-7pm | We’ll be making rage and emotion art, getting messy, and turning big feelings into awesome masterpieces. Dinner is included — just bring your imagination and get ready for colorful chaos!

Games, Art & Wine Night! (Ages 22+) $60

Sunday, 9/27 | 4pm – 7pm | Join us for a cozy Games, Art & Wine Night at CEL! Enjoy fun games, creative art activities, and the chance to try different wines while spending time with friends. Dinner is included — come ready to laugh, create, sip, and unwind!

Pumpkin Fest at CEL: $60

Sunday, 10/11 | 4pm – 7pm | Join us for a festive Pumpkin Fest filled with fall fun! Enjoy pumpkin carving, decorating, and tasty pumpkin treats. Whether you’re getting creative or just here for the snacks, there’s something for everyone to enjoy!

Murder Mystery Supper: $60

Sunday, 10/25 | 5pm – 8pm Ahoy, matey! A pirate-themed crime has rocked the ship… but WHO is the murderer?! Join us for a night of clues, suspects, treasure, and mystery at our Pirate Murder Mystery Supper. Dinner is included — come ready to crack the case on the high seas!

Neon Nite! $60

Sunday, 11/8 | 4pm-7pm| Glow all out at Neon Nite! Dance under the black lights, make neon crafts, and create glowing paintings with friends. Snacks will be provided! Wear bright colors and get ready for a night of glowing fun!

Friendsgiving: $70

Sunday, 11/29| 4pm – 7pm | Glow all out at Neon Nite! Dance under the black lights, make neon crafts, and create glowing paintings with friends. Snacks will be provided! Wear bright colors and get ready for a night of glowing fun!

Holiday Dinner Dance: $90

Sunday, 12/13 |4pm-8pm | Let’s get festive and CELebrate the Holidays with a lovely sit-down meal followed by holiday games, music, and caroling! Wear your finest holiday apparel to show off your spirit!

Escape Room: $120

Sunday, 9/13 2pm-6pm *Excursion* Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Whirlyball: $120

Sunday, 9/20 | 2pm-6pm | *Excursion* Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Krolls Farm: $110

Sunday, 10/4 | 1pm-5pm | Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Night of 1,000 Jack-o' Lanterns: $140

Sunday, 10/18 | 5pm-10pm | Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Stades Farm & Market: $140

Sunday, 11/1 | 1pm-7pm | Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Hard Rock Casino: $140 (22+)

Sunday, 11/15 | 1pm-7pm | Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Lincoln Park Zoo Lights: $160

Sunday, 12/6 | 1pm-7pm | Pick up/Drop off at CEL for all excursions. Program Supervisors will reach out the Friday before the excursion with additional information.

Grand Total

Disneyland Vacation (Ages 22+)

Disneyland Vacation – $4,300

When: 9/29-10/3 Down Payment of $2,150 is due on 7/31. CEL will be flying high to experience the magic of Disneyland in California, where classic Disney charm meets nonstop adventure! From iconic attractions and thrilling rides to dazzling parades, beloved characters, and unforgettable treats, every moment feels straight out of a storybook. We’ll spend time exploring the parks and the city of Los Angeles! Families must complete all required waivers prior to participation. For more information, contact Veronica Luna at [email protected]

Grand Total

Afternoon Social Club (23+) Please note that Afternoon Social Programs are SEPERATE from CEL's Day Programs.

Please note: Afternoon Social Programs are a separate program from CEL’s Day Programs (Catalyst & REACH). Registration is required each session, and participation is not automatic. All members must register each session.

Monday Afternoon Social – $520

8/31-12/14 (13 weeks) | 3:00pm-5:30 pm |No program 9/7, 9/21, 11/23 Supervisor: Maribel E. [email protected]

Tuesday Afternoon Social – $560

9/1-12/15 (14 weeks) | 3:00pm-5:30 pm | No program 11/10, 11/24 Supervisor Hope W: [email protected]

Wednesday Afternoon Social – $600

9/2-12/16 (15 weeks) | 3:00pm-5:30 pm |No program 11/25 Supervisor: Hope W: [email protected]

Thursday Afternoon Social – $560

9/3-12/17 (14 weeks) | 3:00pm-5:30 pm |No program 11/26, 12/10 Supervisor: Hope W: [email protected]

Friday Afternoon Social – $560

9/4-12/18 (14 weeks) | 3:00pm-5:00 pm |No program 10/30, 11/27 Supervisor: Martina P: [email protected]

Grand Total

Teen/Young Adult Weekly Afternoon Programs (13-22)

Please note: Afternoon Hangout Programs are a separate program from CEL’s Day Programs (Catalyst & REACH). Registration is required each session, and participation is not automatic. All members must register each session.

Monday Afternoon Hangout – $550

8/31-12/14 (13 weeks; no program 9/7, 9/21, 11/23) Supervisor: Maribel E: [email protected]

Tuesday Afternoon Hangout – $590

9/1-12/15 (14 weeks) | 3:00pm-5:30 pm | No program 11/10, 11/24 Supervisor: Hope W: [email protected]

Wednesday Afternoon Hangout – $630

9/2-12/16 (15 weeks) | 3:00pm-5:30 pm | No program 11/25 Supervisor: Hope W: [email protected]

Thursday Afternoon Hangout – $590

9/3-12/17 (14 weeks) | 3:00pm-5:30 pm | No program 11/26, 12/10 Supervisor: Hope W: [email protected]

Friday Afternoon Hangout – $590

9/4-12/18 (14 weeks) | 3:00pm-5:30 pm | No program 10/30 & 11/27 Supervisor: Hope W: [email protected]

Saturday Community Explorers – $1,320 (Ages 13-22)

9/5-12/19 (15 weeks; no program 11/28) 10:00am – 3:00pm Supervisor: Hope W: [email protected]

Grand Total

Teen/Young Adult Events & Excursions (13-22)

Supervisor: Martina P: [email protected]

Fall Camp Tales – $60

Saturday, 9/12 | 5pm – 8pm Gather round the campfire to hear some spooky stories, roast marshmallows, build a fort, play games, and make a craft!

Fall Fun Day! $130

Monday 10/12 | 9am-5pm | No school? No problem! Head over to CEL and spend the day with your buddies as we get ready for Halloween! Head out to find a pumpkin to decorate and then join in some ghastly and ghoulish fun with friends! Afternoon snack provided but please bring your lunch.

Richardson Adventure Farm: $150 *Excursion*

Saturday, 10/24 | 4pm-9pm Get ready for a day of fall fun at Richardson Adventure Farm! Explore the famous corn maze, enjoy exciting attractions, and make unforgettable memories with friends. Price includes admission and dinner. Be sure to bring extra money for snacks, treats, and additional activities!

Halloween Haunts: $60

Saturday, 10/31 5pm-8pm Decorate pumpkins, make spooktacular crafts, and have a yummy mummy treat. Don’t forget to wear your costume!

Turkey Time – $60

Saturday, 11/21 | 5pm-8pm Join all your friends for Friendsgiving fun! Create fall crafts, play some games, and enjoy a delicious Friendsgiving dinner!

Willow Hill Lights Show: $90*Excursion*

Saturday, 12/5| 5:30pm-8:30pm Stay warm and cozy on the bus as you ride through 2.5 miles of a de-light-ful holiday light show filled with festive cheer! On the way back, stop at Dunkin’ Donuts for a late-night snack to end the evening on a sweet note.

Holiday Hoopla: $60

Saturday, 12/19 | 5pm-8pm| Head over to CEL for a night of fun that’s sure to include all kinds of Holiday cheer! From music to dancing to crafting and treats, we are ready for you!

Grand Total

Virtual Programs (All Members/Ages)

Virtual programs are facilitated via Zoom. Zoom Codes will be sent by 8/24/26. Please see pg. 25 of the Fall Program Guide to review Zoom Guidelines.

Sports Chat – Virtual Program – $180

Sundays, 8/30 – 12/13(17 weeks) | 10am – 10:45am | No program on 9/6 & 11/22 Talk about current sports news and share updates of your favorite teams!

Bingo Baby! – Virtual Program – $190

Tuesdays, 9/1-12/15 (18 weeks) | 5:15pm – 6:15pm | No program on 11/24 Get ready to win! Diagonal, letter or cover all in one of our very favorite activities!

Interactive Games – Virtual Program – $190

Tuesdays, 9/3-12/3 (18 weeks) | 6pm – 6:45pm | No program on 11/26 A program packed with trivia, team challenges, fun games, and friendly competition.

Grand Total

Payment Information

You asked, and we listened! CEL is excited to introduce our new invoice and payment system, designed to make registration, invoicing, and payments more accessible, efficient, and user-friendly for our members and families. CEL will now be using FluidPay for all program payments. Once your registration has been confirmed, the Community Engagement team will notify our Billing Department to generate your invoice. You will then receive an email at your primary email address with a secure link to view your invoice, set up your payment, and, if needed, enroll in a payment plan. Please note: All outstanding balances for the current session must be paid before registering for the next session.

Financial Assistance (DO NOT check this box if you already receive Financial Assistance)

I am requesting Financial Assistance

If you currently receive Financial Assistance through CEL, please do not check this box. All new Financial Assistance requests require proof of total household income before eligibility can be determined. If you would like to apply, please check this box. A member of the Community Engagement team will send you a Financial Assistance application. Once completed, please submit the application, along with all required income documentation, to Becky Alban at [email protected]. Please note that applying for Financial Assistance may delay the registration process. Placement in requested programs cannot be guaranteed until eligibility has been determined and registration has been finalized. Financial Assistance is available for one weekly program per session, per member.

Primary Email Address to Receive Your Invoice:(Required)

This email will be used for invoices, payment links, and billing-related communication. Please ensure it is an active email address that is checked regularly.

Is there anything else we should know?(Required)

Please include any information, questions, or concerns that will help us best support your member’s participation in CEL programs.

Live Test Forms

FY27 Fall Registration Request

Member Information

Weekly Programs (18+)

Harvest Dance (18+)

Adult Events & Excursions (18+)

Disneyland Vacation (Ages 22+)

Afternoon Social Club (23+) Please note that Afternoon Social Programs are SEPERATE from CEL's Day Programs.

Teen/Young Adult Weekly Afternoon Programs (13-22)

Teen/Young Adult Events & Excursions (13-22)

Virtual Programs (All Members/Ages)

Payment Information

Section Break

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