Respitelodge Scheduling Request Home > Services > Office for People With Developmental Disabilities > Respite > Schedule Respite > Respitelodge Scheduling Request A A A Please submit the form below to request available dates. We will respond to confirm availability. If you have any questions, please contact us at RespitelodgeAdminTeam@HeritageChristianServices.org or (585) 889-0772. Respitelodge Request Form Guest Name*Your Name (if different)Your Email*Is this for an out of town trip or event?*YesNoIf yes, please describe the trip/event.Date of requested Respitelodge arrival*Method of guest arrival*Family drop offOutside agency drop offLodge pick-up from program/schoolIf guest will be arriving via family or outside agency, please tell us what time to expect them.Date of requested Respitelodge departure*Method of guest departure*From program/schoolFrom LodgeIf guest will be picked up from Lodge, please let us know what time (any time before 3:30 p.m.)Additional CommentsCAPTCHACommentsThis field is for validation purposes and should be left unchanged.