Summer Break Respite Care

Returning Volunteer Application Form

Interested in returning to volunteer at a respite with us? Fill out the form below and we will be in touch!

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Name

Please list any changes in allergies and/or dietary restrictions.

Briefly share what you enjoyed about serving before.

Please select the summer session you plan to serve at:

FIND US

910A Catlett Road
Canton, MS 39046
601-594-0148

PARTNER

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Careers

Quiet Waters is a non-profit, 501(c)3 Christian ministry. All gifts to Quiet Waters are tax deductible, less goods and services received. Tax-ID# 26-1570909.