PLANTING SEEDS OF HOPE

Name(required)

Email(required)

Phone(required)

Preferred Check-in Date(required)

Preferred Check-out Date(required)

Please let us know why you are seeking respite care. All statements will be held confidential.(required)

Required Agreements for Application Approval.(required) I have read and agree to the Power Plant's Terms & Conditions. I have also read and agree to the Disclaimer and Privacy Policy Statements. I further understand that four things will be required for my application to be accepted: 1) an online security deposit that will be refunded to me after my departure and upon satisfactory inspection of the property 2) a signed copy of the Guest House Policies and Procedures 3) a signed copy of the Waiver and Release of Liability Agreement and 4) a copy of my driver's license or equivalent photo identification.