Please down load this application. Fill it out completely and return to:

Heartfit Respite Inc
1398 Frankford Rd RR#2
Quinte West K0K2C0

* Your preferred week will be reserved for you on receipt of your application and payment of full fee. – deadline May 15
* Your official receipt will be sent to you electronically immediately on receipt of funds

* Returning client applications can be dropped off on the first day of the session

Cristina Milner
Director
Heartfit Respite
www.heartfitrespite.com
1-613-968-2428

 

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