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DONATE
Register
Parent Resources
Blog
Login
About
Impact
Services
Team
Careers
Contact
get involved
Volunteer
Wish List
Other Ways to Give
HOPE Campaign
DONATE
AdaptAbilities Weekend Respite Programs Form
Home
Weekend Respite Programs Registration
Weekend Respite Programs
We are currently accepting registrations for
Spring (April - June).
Programs are all 11am - 4pm at minimum
Program fees are non-refundable and are applied to all booked dates
Cancellations must be received at
minimum 14 days notice to avoid hourly billing
Spots are first come/first serve with all required documentation/fees paid
Cost
$5/day for McKernan Centre or Orange Hub
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)
Select Location
*
Ages 3 – 12 - McKernan Centre
Ages 3 – 12 - Orange Hub
Ages 13 – 17 - Head Office (Saturdays only) Please note: this program is not running - We are only collecting interest
Select Days
*
Saturdays
Sundays
Both
Saturdays
Select All
Apr 1
Apr 22
Apr 29
May 6
May 13
May 27
June 3
June 10
June 17
June 24
Hours
I require standard hours - 11:00 AM to 4:00 PM
I require before/after care (*hourly rates apply)
Before/After Care is only available Saturdays
Before & After Care
Before Care (10:00 - 11:00 am)
After Care (4:00 - 5:00 pm)
Drop Off Time
:
Hours
Minutes
AM
PM
AM/PM
Pick Up Time
:
Hours
Minutes
AM
PM
AM/PM
Sundays
Select All
Apr 2
Apr 16
Apr 23
Apr 30
May 7
May 14
May 28
June 4
June 11
June 18
June 25