Eva's Casita Interest Form
Please allow up to two weeks for someone to reach out to you after filling out this form. If you have any questions, feel free to contact us at (407)-968-1288.

This is a space to take a no-cost, non-clinical break for 1 to 6 nights with voluntary self-driven, group, or 1:1 opportunities to connect with others navigating big feels or life struggles. 

After you fill out this form, someone will reach out so that you can get to know us, we can get to know you, and we can decide together if this could be a good option for you!
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Email *
Basic Information
Name (Name you go by)
Date of Birth
Zip Code
Email address
Phone number
Preferred contact method
Are there preferred dates you would like to stay with us? (We can't promise your preferred dates but will do our best)
Have you stayed before? *
Eva's Casta is a space for those 18+ that want to take a respite. This is a community space and we want to do our best to be mindful of those we are sharing space with. We make a collective effort to create as cozy and safe of a space as possible. One ask we have is that our guests honor our guest agreement for overnight stays (tinyurl.com/GuestAgreement).

This is a living set of guidelines crafted communally in an effort to create a space that balances both individual and communal comfort needs.

We will review this with you further when reaching out. Are you able to be respectful of the needs of others? 
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Do you fall within the following participation guidelines?

✨ This is a space for adults. I am 18+.

✨ This is not a housing resource. I have somewhere to go after my stay and understand my date/time I need to be out of my room and off property by.

✨ I am not on the level 2 or 3 sex offender list.

✨ I understand this isn’t a high security center and agree that my stay here will not potentially risk the safety of others.

✨ This is a self-driven environment. We are here to support, but those staying are able to care for themselves without constant support.

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What are some of your lived experiences (if you would like to share)?
Please share a brief description of what you are hoping to gain from your stay:
Do you have any physical or emotional accessibility needs you'd like to share?
Anything else you would like to share?
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