Adults with Disabilities Respite 
Event Timing: March 8th. 1-4 pm
Event Address: Northside Christian Church (Disciple of Christ) 4008 Tazewell Pike Knoxville TN
Contact Frits at 865 687-0475 or fritsdhaverkamp@gmail.com
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Name of parent/ guardian *
Email of parent/guardian *
Name and age of participant *
We will have snacks. Any food allergies
Medical concerns we should know about for our time together
Any other concerns we should know about
What do you love to do that we might be able to include in our respite
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