Online Spring Youth Registration

Spring 2019 Youth Registration
  1. (required)
  2. (required)
  3. (required)
  4. Will anyone accompany this participant during RADD activities?
  5. Will a Service Animal accompany this participant during RADD activities?
  6. Contact:


  7. (required)
  8. (required)
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. (valid email required)
  14. Prefer Contact by


  15. Party Responsible for Payment

  16. (required)
  17. (required)
  18. Youth Overnight Respites:







  19. Six Hour Youth Day Respites




  20. Movies

  21. Cooking Class (Daily Living Skills)