RegistrationAccepting new clients! Parent Name * First Name Last Name Email * Phone * (###) ### #### Child's Name First Name Last Name Child Date of Birth MM DD YYYY Select the program you're interested in signing up for. Weekend Day Camp PA Day Camp Summer/Holiday Camp Youths Social Club Kids Social Club Overnight Stay In-home Respite Respite Events Free Family Event Are you a new or existing client of the Respite Care Centre? * New client Existing Client Tell us about you child and their specific needs . Message Select the date you are requesting to book or the start date of the program you are signing-up for. MM DD YYYY Thank you!
