Respite Night Family Registration

Respite Event Participant Form Nov 1st 2024

"*" indicates required fields

We'd love to see you at our next Respite Care Event, coming up on November 1st from 6:00-8:30pm at Sunset Bible Church (7909 40th St. W. Tacoma, WA 98466). Please fill out the form below to register all your children and or adult 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 already filled out a form with us before you can indicate that using the form below. 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 disabilityministry@sunsetbible.com. Thank you and we hope to see you soon!

Parent/Guardian Information

Parent/Guardian Name*

First Last

Have you filled out a respite care registration form with us before?*

Yes

Email Address*

Primary Phone Number*

Secondary Phone Number

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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.

Are there any changes from your previous registration form with us?

Nope, all the participants listed on my previous registration form are returning for this event and require no updated information.

Yes, I have changes or updated information I need to share.

Please indicate any changes or updates here:

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 Care event at Sunset Bible Church in University Place, WA on November 1st, 2024. I understand the permission to include emergency medical treatment in case I/we cannot be reached in a medical emergency.

Signature*

By design, there is no cost for this event. Simply click below to complete your registration and expect to hear from our Family Coordinator soon!

Respite Night Families

Respite Night Family Registration

Respite Event Participant Form Nov 1st 2024

Parent/Guardian Information

Child/Participant Registration

Permission to Participate

Quick Links

Sunset Bible Church