Thank you for your interest in Project REST! Our goal is to make you family healthier and happier by offering monthly respite for you and your family. Project REST is a collaborative effort between Children’s Home Society of VA (CHSVA), coordinators2inc (C2), and One Church, One Child (OCOC). Below are a few questions and answers that you may have:
1. Where will Project REST be held?
The respite program will take place at St. Joseph’s Villa (8000 Brook Road, Richmond, VA 23224). It is at the corner of Brook Road and Parham Road. When you come onto the campus we are at the Dooley Elementary School which is towards the back of the campus.
2. What time?
Respite hours are 10am – 4pm. Children must be picked up by 4pm.
Dates: October 19, November 16, December 14, January 18, February 15, March 15, April 19, May 10, June 21, July 19, August 16, September 20. There will be a weekend retreat in October 2014, dates TBD.
3. How qualified is the staff?
We have an experienced and nurturing staff of Social Workers, Counselors, and Psychologist that are excited to spend time with your loved ones. Many of us have personal experiences with adoption. All group facilitators and volunteers have received training to understand the unique issues of adoption and of children with a trauma history. A high staff to child ratio will ensure your child will receive extra attention if needed.
4. How much is it for my child to attend?
The cost of respite is $25 for the first child and $10 each additional child. This fee is per month.
5. Do I have to provide their food?
No, lunch and snacks are provided for your children.
Space is limited so please complete the respite registration form and submit at your earliest convenience. The fee is $25 for the first child & $10 for each additional child. Cash, check, and credit card payments are acceptable.
Forms can be faxed (804-355-1001), emailed () or mailed. Payment may be mailed. Please make checks out to: coordinators2inc and mail to 8100 Three Chopt Road, Suite 101,
Richmond, VA 23229. Or you may pay by credit card by calling coordinators2inc at 804-354-1881
Child One:
Age: Gender:
Child Two:
Age: Gender:
(please add any additional children on the back of this form or on a separate page)
Parent/Guardian:
Email:
Phone Number:
Emergency Contact:
Mailing Address:
City: State: Zip:
Please include what support your son/daughter needs in order to be successful?
Liability:
I give permission for my child to be photographed during Project REST activities. These photographs may be posted on marketing material and only first names will be utilized to identify the child if the photo is to be labeled.
______Yes ______No
I authorize the staff to administer first aid to my son/daughter in the event that injury or health problem that may occur during their participation. I hereby release and hold harmless the Project REST Respite Day staff, volunteers, or collaborative agencies. I acknowledge that I am responsible for any and all medical expenses due to my son/daughter(s) illness and/or injury. ______Yes ______No
Project REST has been made possible by a generous donation through Impact 100