Parents’ Time Off Registration Form

    Personal Information
    Parent/Guardian Information
    Emergency Information
    Medical Information

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    Helpful Information
    Payment Information

    The Youth Services Parents’ Time Off program is $25 per evening/day. This fee will increase to $30 on March 1st. Thanks to our sponsors, tuition assistance is available if needed.
    We require financial statements for verification, such as proof of income and/or disability related expenses. Please contact us at YouthServices@abilityconnection.org or or 214-351-2500 ext. 2273 to be considered.

    Please check before submitting.