Bennett's Place Respite Request
In emergencies please contact us at 678-878-4103 or Bennettsplace2920@gmail.com
Personal info
* We kindly ask that you complete one form per child for each date requested, this makes it easier for us to track your requests.
Important
If a request is cancelled with less than 24 hour notice, we will still need to charge for the service as staff has to be scheduled in advance.
Holidays
We are closed Sundays, New Year’s Eve, New Year’s day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Black Friday, Christmas Eve and Christmas Day.
Child's Name *
Your answer
Cell Phone *
Your answer
Email address *
Your answer
Request Type: *
Hours available upon request; a minimum 2-hour charge will be incurred for respite regardless of the length of stay. Request must be made at least 24 hours in advance. Voucher must be presented when child is dropped off or service will not be provided.
Required
Date Requested *
MM
/
DD
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YYYY
Drop-off Time *
Time
:
Pick-up Time *
Time
:
More details
Your answer
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