Respite Night Family Registration

Respite Night Participant Form

"*" indicates required fields

We'd love to see you at our next Respite Night, coming up on October 13th from 6-9pm at Sunset Bible Church (7909 40th St. W. Tacoma, WA 98466). Please fill out the form below to register all your children/ participants . Then expect to hear back from our Family Coordinator who will connect with you to discuss how we can best serve your family. If you have any trouble filling out this form or need to contact us for any reason, call us at (253)-564-7317 or email us at Thank you and we hope to see you soon!

Parent/Guardian Information

Parent/Guardian Name*

Child/Participant Registration

*We use the word "participant" because we have no age limit on who can participate in Respite Night. We will have many children, but we also welcome adults with disabilities.
Participant Name Actions
There are no Children/Participants.

Maximum number of children/participants reached.

Permission to Participate

By signing below, as parent or guardian of the registered child/children, I do hereby give permission for (participant/s) to attend the Respite Night event at Sunset Bible Church in University Place, WA on October 13, 2023. I understand the permission to include emergency medical treatment in case I/we cannot be reached in a medical emergency.
By design, there is no cost for Respite Night. Simply click below to complete your registration and expect to hear from our Family Coordinator soon!