Canton Rejoicing Spirits - Residential Care Facility Registration
Email address *
Agency *
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City *
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Contact Person *
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Contact Cell Number
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Can we text you at this number with service information?
Date of Service *
Number of residents/clients attending *
Your answer
Number of staff attending *
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Describe any food allergies or special dietary needs for your group. Please provide the people's names so that we can set aside something special just for them!
Your answer
Anything else that would be helpful for us to know about your group (i.e. people with sensory disorders, etc.)? We will try to take everything into account to create a great experience for everyone!
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A copy of your responses will be emailed to the address you provided.
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