Internet Addiction Recovery Program APPLICATION ... - HEAL
Internet Addiction Recovery Program APPLICATION ... - HEAL
Internet Addiction Recovery Program APPLICATION ... - HEAL
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<strong>Internet</strong> <strong>Addiction</strong> <strong>Recovery</strong> <strong>Program</strong><br />
WHAT TO BRING TO HEAVENSFIELD RETREAT CENTER (CHECK LIST)<br />
(This is a GUIDELINE – Participant’s clothing needs may vary - Use your judgment)<br />
PARTICIPANT’S NAME_____________________________________ SESSION SEASON - W_____S_____S_____ F_____<br />
( ) 1 light blanket<br />
( ) 1 set of twin size sheets<br />
( ) 1 pillow<br />
( ) 2 pillow cases<br />
( ) 1 bath towel<br />
( ) 1 wash cloth<br />
( ) 1 pair boots (hiking or outdoor)<br />
( ) 1 pair casual shoes<br />
( ) 1 pair tennis shoes<br />
( ) 1 pair sandals<br />
( ) 2 pairs pajamas<br />
( ) 3 pairs blue jeans or long pants<br />
( ) 1 pair of sweats<br />
( ) 4 pairs shorts<br />
( ) 1 bathing suits (camp appropriate)<br />
( ) 8 T-shirts<br />
( ) 8 pairs of socks<br />
( ) 8 pairs underwear<br />
( ) 1 nice outfit<br />
Winter/Spring<br />
( ) Winter Ski Jacket<br />
( ) Winter Snow Gear (Gloves, Hat, Boots)<br />
( ) 1 sweatshirt<br />
( ) 1 jacket (preferably fleece)<br />
( ) 1 raincoat<br />
( ) Hat<br />
( ) Kleenex<br />
( ) Shampoo<br />
( ) Toothpaste<br />
( ) 2 toothbrushes<br />
( ) 1 pair nail clippers<br />
( ) 1 flashlight w/batteries<br />
( ) 1 comb and/or brush<br />
( ) 1 squeeze bottle of soap<br />
( ) Personal water bottle<br />
( )<br />
( )<br />
Summer/Fall<br />
( ) Insect repellent (not aerosol, please)<br />
( ) Sunscreen<br />
OPTIONAL LIST OF ARTICLES - These items come in handy, but are not absolutely necessary.<br />
( ) musical instruments (encouraged)<br />
( ) personal sports equipment<br />
( ) pictures of loved ones<br />
( )<br />
( )<br />
( ) camera<br />
( ) 1 or 2 good books or magazines<br />
( ) extra batteries<br />
( ) Stationary/postcards, stamps<br />
Remember to send along sufficient toiletry articles for a 45-day stay. This list is not absolute. You may require more or less than what is<br />
listed. HEAVENSFIELD IS A GOOD PLACE TO WEAR OUT OLD CLOTHES. Please do not bring new clothes or valuables. Laundry<br />
will be done a minimum of once per week. Plan accordingly. We provide laundry bags.<br />
NOTE: Personal MP3 players may be brought to Heavensfield. Televisions, game boys, pagers, and computers are NOT allowed.<br />
Please leave these items at home. Additionally, cellular phones are not allowed at Heavensfield and will be stored in a security<br />
box while on site.<br />
MARKING ARTICLES: Mark ALL articles brought to Heavensfield with your name. We have found the “Sharpie” indelible<br />
permanent marker (may be purchased at Wal-Mart, Target, etc.) to be the easiest, most efficient method to mark items. An accurate list<br />
of all articles should be made. reSTART IS NOT RESPONSIBLE FOR LOSS OF PERSONAL ARTICLES OR CLOTHING BY THEFT,<br />
CARELESSNESS OF PARTICIPANT, OR OTHER CAUSES.<br />
Page | 24<br />
reSTART <strong>Internet</strong> <strong>Addiction</strong> <strong>Recovery</strong> <strong>Program</strong> | 1001 ‐ 290 th Ave SE . Fall City, WA 98024‐7403 | 425.417.1715 | fax 425.222.7189<br />
restart@netaddictionrecovery.com | www.netaddictionrecovery.com