On April 30, 2019, the Cooke SKILLS program hosted the SDMNY project’s fourth supported decision-making agreement (SDMA) signing ceremony. Two decision-makers and Cooke students executed their SDMAs and celebrated together with their gathered supporters. Dr. Francis Tabone, Cooke’s Head of School, presided over the ceremony as well as SDMNY’s Project Director Kristin Booth Glen. The ceremony was attended by family members (some joining via web conference), Cooke teachers, and fellow Cooke students and alumni. Guadalupe Vidal, former SDMNY Project Assistant, and Joan Cornachio, the NYC Site Coordinator, both of whom facilitated these decision-makers’ SDMA development process, guided them and their supporters through the steps to sign and notarize each agreement.