Citizen Advocates Respite Event Sign up
Please sign your child up for Oct 15 respite. Once the event is full, you will not be able to sign up. Respite will be is at Silverbrook School from 4-7. Come in the doors closest to the gym.

All attendees will need to complete a covid release form at arrival. Temperature checks may be taken from all students and volunteers. Masks will be required only if the school district requires them.

Please, if your child or anyone in your home is sick, we ask that you do not send them to respite. Also, if anyone in your home is quarantined for work or school, please do not send your child to respite. If your child is in a faze of spitting, licking things, or not able to keep their hands out of their mouths (or other peoples), group respite probably is not the right place for them right now.

We will do sign up one month at a time due to covid uncertainty, however all the dates are set for the year. Mark your calendars! 10/15, 11/19, 12/17, 1/28, 2/25, 3/18, 4/22, 5/20.

Sign in to Google to save your progress. Learn more
Child's first name *
Child's last name *
Parent's name *
Parent's email *
Dates your child will be at respite: *
I have read and understand the covid precautions being put in place. I also agree that if my child (or anyone else in the house) is sick or on quarantine, I will not send them to the respite event. *
Are any siblings attending? Please include name and age for each sibling. All siblings must be registered in order to stay!! If no siblings are coming, write NA *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.