Rehoboth Acres

Questionnaire for Day Program Enrollment

Thank you for your interest in Rehoboth Acres’ Day Program. Please complete the questionnaire below with as much detail as possible. Prefer to talk it through? Call (430) 215-7575 and we’ll walk you through it, or download the PDF and email it to [email protected].

Need help with the cost? Apply for a scholarship through FACTS — applications close November 1, 2026.
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