Respite Night is a time that your special needs child(ren) and their siblings can be dropped off to hangout with trained professionals and buddies while parents and caregivers enjoy the night off.  We will have fun doing activities, crafts, movies, and snacks on Saturday, Dec. 8, 4-8pm.  Register by: Dec. 1, 2018.

Notice of Photography: We frequently take photos and/or videos of our environments for publication and editorial purposes.  If you wish your child's likeness to not be used in this manner, please notify the North Terrrace office at 

Child's Name *
Child's Name
Primary Phone Number *
Primary Phone Number
Secondary Phone Number *
Secondary Phone Number
Address *
Child's Birthday *
Child's Birthday
If yes what do your child's seizure look like?
How do you at home soothe your child when they are upset?
If you have other siblings, we would like to extend the invitation to them as well! Please fill out the information below for all other children.