Respite care at the Sensory Zone
Hello! We are hiring more respite care Hangout Buddies and want to know when your family would be interested in care each week/month? Please share with us the day(s) you are hoping for care and what the hours would be approximately. This will help us when scheduling Hangout Buddies. If you have more than one child, please complete this form for each child. * If you have any questions please email courtney@keepcalmtoolkit.com. * Once you have filled this out someone from the Sensory Zone will reach out to you to go over it and confirm scheduling. Thank you and we can't wait to be your child's favorite hangout spot.
Name of parent
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Name of child for respite care
*
First Name
Last Name
How many hours of respite care are you hoping for each week?
*
What day(s) of the week would you be interested in respite care?
*
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What hours each day were you looking for respite care for? Example... Saturdays from 10am - 1pm, Tuesdays from 3-6pm
*
Submit
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