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Respite Care Application

Feel free to fill out the online application, or print an application by clicking the button below.

It is our mission to improve the quality of life for children with multiple disabilities or profound deafness by providing needed adaptive equipment and select services to individuals and institutions that require a supplement to alternative means of funding. Incomplete applications will not be considered and returned to applicant for completion. Please note that at this time Be An Angel is unable to provide support for surgical procedures, ongoing therapies, or purchase of vehicles.

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