Family Registration

If you have previously registered with respiteservices.com, and have a received a username and password, please login to access your registration information.

If you are interested in accessing respite information and services in Hastings and Prince Edward area, and do not have a username and password, please complete the family registration form.

Your completed registration will be received by the coordinator and you will be contacted within 3 weeks.

You may submit your registration form in one of two ways:

• If you wish to complete the form and submit it online, please use the:
  Family Online Registration

For Hastings County Mail to:	For Prince Edward County Mail to:
respiteservices.com	respiteservices.com
Counselling Services of Belleville & District	Community Living Prince Edward
12 Moira St. E.	67 King Street
Belleville, ON K8P 2R9	Picton, ON K0K 2T0
FAX Number - 613-966-2357	FAX Number - 613-476-2868
Email: csbd@csbd.on.ca	Email: respite@clpe.on.ca

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