FEAT of Washington - Teen Respite Registration

Welcome to FEAT of WA's Teen Respite Registration Form.

 

IMPORTANT! Please read before you register.

New families: Please make sure you have submitted a complete NEW FAMILY INTAKE FORM found at www.featwa.org/teen-respite AND that you have received confirmation of participation from the program manager. If you are a current ELP family, you may register without submitting this form.

 

Payment of $25.00/per child is due at time of registration and is non-refundable, please be sure to have been in contact with our program manager before registering.

 

If you are registering more than one child, please register separately.

You may only register for one respite session at a time and we can not accept registration for future sessions.

Registration and payment is only accepted through this form, prior to event.

 

Should you have any further questions regarding registration or need assistance please contact:

Katie McAndrew, ELP - Teen Respite Program Manager

katie.mcandrew@featwa.org

(253) 329 6604

Please indicate 1 in this box, thank you.

Quantity
Price
Total
Ticket Quantity
X
$
25.00=
$
0

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

By submitting this registration form I agree to the following terms and conditions:

I, the registering party, am the parent/legal guardian of the registering child. That by submitting this form I am aware that I am not eligible for a refund. I agree and hold to the previously submitted waiver which can be found in either my child's ELP Enrollment Pack or the Teen Respite New Family Intake Form.

Payment Information

Amount*
$
Name on Card*
Card Number*

Please list event date in additonal comments

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