Please provide the information below if you are interested in enrolling in our free Parent Toolbox:Project Breather program. In Parent Toolbox, you'll receive monthly boxes filled with books, crafts, parenting tips/strategies and other resources to promote optimal family well-being.  Participants in Parent Toolbox may also opt-in to our free respite care when available. Thank you!

Question Title

* 1. Please provide your name AND email address or phone number. Parent Toolbox participants MUST reside in Mobile or Baldwin Counties in Alabama. 

Question Title

* 2. What is the age of your youngest child? (must be a caregiver of at least one child age 0-8 for monthly Parent Toolboxes).

Question Title

* 3. Are you requesting a box designed for a parent with low vision or who is blind?

Question Title

* 4. If available, would you also like to opt-in to our free respite care program for caregivers of children ages 0-14? Respite Care is when caregivers are provided a break from parenting duties by our in-home sitters. Respite care can be reserved in 2, 3, and 5-hour increments. 

Question Title

* 5. Would you like to join our email list? If not, please like us on Facebook to keep up with the latest program events

Question Title

* 6. If you selected to join our email list and haven't provided your email address yet, please do so here:

Question Title

* 7. We strive to serve families classified as having low to moderate incomes. Please provide your household size (how many individuals live in your home):

Question Title

* 8. We strive to serve families classified as having low to moderate incomes. Please provide an estimate of your annual income:

0 of 8 answered
 

T