Respite Registration

Before your child attends their first respite event, please make sure the registration form below is complete. We will also have a form for you to sign when you come the first time. This information helps us make sure that we have all the needed information to keep your child safe and happy while with us!


The information on this form is only available to Citizen Advocates staff and used as needed only to  care for your child.

Sign up here to receive updated information about our Respite program

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