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Impact
Services
Team
Careers
Contact
DONATE
AdaptAbilities Weekend Respite Programs Form
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Weekend Respite Programs Registration
Weekend Respite Programs
I have a current funding agreement
*
PDD
FSCD
No Funding Agreement
I have received services from AdaptAbilities before
*
Yes
No
Parent/Guardian Name
*
First
Last
Phone Number
*
Email Address
*
Participant Name
*
First
Last
Participant Date of Birth
*
(dd/mm/yyyy)
DD slash MM slash YYYY
Age
(calculated automatically)
Programs are all 11 am – 4 pm:
*
Select as many as you like.
1. Saturday – Ages 3 – 12
- McKernan Centre
— Before Care Required (9:30 – 11 am)
— After Care Required (4 – 5:30 pm)
2. Saturday – Ages 13+
- Whyte Ave Head Office
— Before Care Required (9:30 – 11 am)
— After Care Required (4 – 5:30 pm)
3. Saturday – Ages 3 – 12
- Orange Hub
— Before Care Required (9:30 – 11 am)
— After Care Required (4 – 5:30 pm)
4. Sunday – Ages 3 – 12
- McKernan Centre
5. Sunday – Ages 3 – 12
- Orange Hub
Cost
$5/day for McKernan Centre or Orange Hub
$10/day for Whyte Ave Head Office
Daily activity and centre fee will be automatically debited at the end of each month for the number of days your child attended.