Respite Days Volunteer Application Form

This is for volunteers local to Western Michigan that would like to volunteer for our Respite Days Program. Ages 14+ (Applicants 18+ must agree to submit to a background check)

Name
Address
Are you over the age of 14?
Are you over the age of 18?
If so, do you agree to submit a background check?
All days will be from 10:00 am – 3:00 pm. Respite Days Care will be held at Rose Park Reformed Church in Holland, MI. Dates for care will be: January 25, 2025 – February 15, 2025 – March 8, 2025 – April 12,2025 – May 10, 2025 – June 7, 2025 – July 19, 2025 – August 16, 2025 – September 13, 2025 – October 11, 2025 – November 8, 2025 – December 13, 2025.