Your Day Away - A not-for-profit to support parents of children with special needs worldwide. - 631-553-9462 - www.yourdayaway.com
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(631) 553-9462

Robbie Woliver
Robbie@yourdayaway.com

Marilyn Lash
Marilyn@yourdayaway.com
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YourDayAway
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YOUR DAY AWAY™
AGENCIES APPLICATION
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Donate | Parents Apply | Volunteer | Caregivers | Caregiver Agencies | High School


One of the most difficult parts of "Your Day Away" is to find qualified caregivers to take care of young people with special needs while parents are on a "getaway".  Are you an agency that deals with respite caregivers for parents with children with special needs?  Register here and we'll list you as a potential resources.

DISCLAIMER: Your Day Away does not check on any of these agancies, and is in no way responsible for your experience with these agencies.

To Register Your Organization's Information
* Required fields
Note: if you are an individual caregiver: 
Caregivers
Unless you specify otherwise in the comments section, this information will be included in our sponsor's list and appropriate media announcements.
Organization or Individual Name:
*
Select a Region: *rqd
Note: If your region does not appear, we might not have a chapter nearby.  Want to form a chapter?
Is your organization a 501(c)(3) nonprofit organization
  Check here if you are registering a 501(c)(3) nonprofit organization.
Website (URL):
*
Contact Name:
*First name:    
*Last name:
Email:
*
  We will send a confirmation email to this address.
Address Street:
*
City:
*
State:
*  Zip:*
Phone Number:
*  alt:   cell:
Fax:
 
Owner's Name(s):
(for our sponsor's list, programs, etc.)

 
Note: Please don't type any "unusual" characters.  If you don't see it on your keyboard, please don't use it.  Plain text only, please.
Brief description of goods and/or services offered by your organization.
*
Note: Please don't type any "unusual" characters.  If you don't see it on your keyboard, please don't use it.  Plain text only, please.
Comments? Questions?  Anything else you would like to share with us?


We deeply appreciate your participation.  We will contact you with more information immediately.  If you have any questions, email us at: National@yourdayaway.com

         

Please click once and allow up to 45 seconds for our computers to respond once you submit this application.

 
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YDA National
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YDA Egypt
YDA Florida
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YDA Hong Kong
YDA Houston
YDA Indiana
YDA Israel
YDA Kansas City
YDA LA
YDA Lebanon
YDA Long Island
YDA Malaysia
YDA Massachusetts
YDA Michigan
YDA Mississippi
YDA Montana
YDA Mumbai
YDA Myrtle Beach
YDA NYC
YDA Namibia
YDA New Delhi
YDA New Zealand
YDA Northern Michigan
YDA Oklahoma
YDA Philadelphia
YDA Pittsburgh
YDA Scotland
YDA Silicon Valley
YDA South Africa
YDA South Australia
YDA Spain
YDA Staten Island
YDA Tennessee
YDA Toronto
YDA Upstate NY
YDA Virginia
YDA Washington
YDA Wisconsin

All Chapter Details


more to come.....
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