Bridges Respite Waitlist

Bridges Respite Waitlist

Please sign up for the waitlist if the event is full. We will contact you in the order submissions were received if any spots become available.
Event Information

Special night designed for any kiddos with special needs AND their typically developing sibling(s).

Kids will have the opportunity to engage in activities (e.g. sensory/quiet room with legos, books, building blocks, coloring, etc., craft room/game room, indoor play space), then have pizza, donuts, popcorn and a movie.

You do not need to be a member of the church. This is open to everyone.

Time: 6:00 pm - 8:30 pm

Address: Centenary Church 646 West Fifth Street Winston-Salem, NC 27101

Fall 2024 Respite Dates

October 25 - sign up closes October 21

November 22 - sign up closes November 18
Before you can sign your children up for any respite evenings, we must make sure we know you!
Have you completed the Bridges online application?*

YesNo
Thank you for letting us know!
How would you like to complete the application?

Please contact me by phonePlease contact me by emailI will complete application online
Please CLICK HERE to apply for Bridges Respite Program.
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Best day(s) and time(s) to contact me is/are
Please provide grown-ups name and contact info and names of attendees.
Parent/Guardian Name*

PrefixFirst NameLast Name
Email at which you'd like to receive information about this event:*
example@example.com
Phone Number to contact if space opens up*
Please enter a valid phone number.
How many children are you adding to the waitlist?*
Child #1 Name*

First NameLast Name
Child #2 Name

First NameLast Name
Child #3 Name

First NameLast Name
Child #4 Name

First NameLast Name
Which date are you joining the waitlist for?:*
I will pick up my child(ren) at or before 8:30 pm.*

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Bridges Respite Waitlist

Event Information

Fall 2024 Respite Dates

HIPAA