Eva's Casita Respite Interest Form

Eva's Casita is a nonclinical communal space where adults can stay for one to six nights per month, up to thirty days per year, to take short, self-guided breaks for their wellness.

Our respite is staffed with peers (people with lived experience of mental health or other related struggles) who are here to support in their own unique ways while honoring their own capacities and boundaries. During your stay, you can chat with respite peers, stay to yourself, come and go as often as you need, and engage in whatever restorative activities you prefer, such as crafting, gardening, cooking, gentle movement, journaling, or whatever else feels best for you!


By submitting an Interest Form, you are agreeing to the following participation guidelines:

✨ I am reaching out voluntarily.

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

✨ This is not a housing resource. I have somewhere to go after my stay.

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

✨ This is a self-driven environment. I am able to care for myself without constant support.


After you submit this form, someone will reach out to you via email so that you can get to know us, we can get to know you, and we can decide together if this resource is a good fit for your current needs.

We will get back to you as soon possible. If you have any questions, or need to reach us sooner, you can call or text us at (407)-968-1288. We are a small team, so please give us grace if we cannot respond right away.
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Email *
Have you stayed before? *
For Returning Guests:
Please reach out to the Respite Team directly and do not submit an Interest Form.
Do you meet the participation guidelines listed at the top of this form? *
This is a communal space that centers the needs of folks with marginalized identities who aren't usually prioritized in other spaces.

In order to balance both individual needs and communal needs, we ask that all guests abide by our Guest Agreement for Overnight Stays.

We will review this with you further when reaching out. Are you able to uphold this Guest Agreement? 
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Full Name (First + Last Name) *
Preferred Name (Name you go by)
Date of Birth *
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DD
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Phone number (###-###-####) *
Are there any details about yourself, your lived experiences, or what types of support you are seeking that you would like to share with us?
Do you have any physical or emotional accessibility needs we should be aware of?
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