Family Interest Form

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The SUN Club serves as respite or a planned break for caregivers who have a child with a diagnosis. Our events are open to the child with the diagnosis and any other children within the household. Our events are held at The Chapel Sandusky Campus and the SUN Club is managed by The Erie County Family & Children First Council. Our events are generally held one Saturday per month for three hours but sometimes multiple events per month are held. Please fill out the form below if you would like our Respite Coordinator to contact you with more information.

Parent/Guardian Name *

Phone Number *

Address *

Name of child with diagnosis *

Child's Birthdate *

YYYY

Child's diagnosis:

How did you first hear about SUN Club? *

Facebook

Board of Developmental Disabilities

Family and Children First Council

Children Services

School

Other:

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