PUBLIC HEALTH & SOCIAL SERVICES

SPECIALIZED RECREATION RESPITE REGISTRATION

Participant First Name *

Participant Last Name *

Phone Number *

Primary Email Address *

Thurston County Specialized Recreation is contracted to accept Developmental Disabilities Administration (DDA) Respite Funds.

I have checked with my Case Resource Manager and have funds to use for activity registration

Yes

Check all that apply:
November 2024

November 16: Fall Harvest Bingo; 5:00pm-7:00pm

November 16: Thunder Fish Swim Club - River Ridge High School; 10:00am-11:30am

November 18: Game Night; 4:00pm-6:00pm

November 19: Movie Night - Regal Cinemas; 4:00pm-8:00pm

November 20: Bowling with Friends; 2:45pm-4:30pm

November 22: Fine Arts Song & Dance - Olympia Family Theater; 4:00pm-6:00pm

November 23: Thunder Fish Swim Club - River Ridge High School; 10:00am-11:30am

412 Lilly Rd. N.E., Olympia, Washington 98506-5132

(360) 867-2679 TCRecreation@co.thurtson.wa.us FAX (833) 499-1806 TDD (360) 867-2603 TDD (800) 658-6384