Local travel for adults with developmental disabilities - Purple Pumpkin Tours - O - Search Beyond Adventures
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Purple Pumpkin Tours
2019 Program Schedule
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Local travel for adults with
developmental disabilities
800-800-9979
Operated by Search Beyond Adventures, Inc.
Purple Pumpkin Tours
About Purple Pumpkin Tours...
Purple Pumpkin Tours are fun and simple lists, detailed tour itineraries, or
three and four day weekend tours departing monthly statements.
north central OH, and picking up participants en Minimum of 50% is due with
route to the destination. Since all are van tours registration. We will then mail
they eliminate the hassle of airport pick-ups, you a confirmation showing
flights, and larger group travel. Tours depart in payment.
the morning and return late afternoon.
Make payment to “Purple Pumpkin Tours” and
All meals, activities, lodging, assistance (1:4 mail checks to our winter address at 245 E Old
ratio of staff to participants) are included, of Sturbridge Rd, Brimfield, MA 01010.
course. If you need a higher ratio of 1:2 staff to
participants you can request this for an addition- Tours operate as a component of Search
al $70/day. Or for $175 more per day you can Beyond Adventures, Inc. Banking and account-
bring an attendant or a family member for a 1:1 ing are separate, however, so please use the
ratio. Purple Pumpkin Tour application and make
In keeping the costs low, there are no packing checks payable to Purple Pumpkin Tours.
2019 Purple Pumpkin Tours
Cincinnati Reds & Cincinnati Yellow Springs
! Watch the Cincinnati Reds play an MLB ! Search for souvenirs at the eclectic
at Great American Ballpark shops in downtown Yellow Springs
! Tour the Red’s Hall of Fame and ! Visit Young’s Jersey Farm
Museum
! Hike at Clifton Gorge State Nature
! Tour the Krohn Conservatory Preserve or John Bryan State Park
! Enjoy a cruise on the Ohio River
June 28-30, 2019 $695
May 31-June 2, 2019 $695
(dates dependent on MLB schedule)2019 Purple Pumpkin Tours
Cedar Point Kings Island
! Thrill on the rides at Cedar Point ! Get your adrenalin going on rides at
Amusement Park. Great for roller coaster Kings Island amusement park
lovers! ! Enjoy live musical entertainment
! Enjoy a concert at Huron’s boat basin ! Get wet at Soak City water park, with
! Tour the Merry-Go-Round Museum and water slides, tidal waves, and water
Maritime Museum plunges. Bring your swimsuit!
July 7-9, 2019 $695 August 9-11, 2019 $695
Niagara Falls, NY
! Ride the Maid of the Mist boat for a close up of the falls
! Tour Old Fort Niagara overlooking Lake Ontario and the Niagara River
! See the exhibits at the Aquarium of Niagara, including sharks and penguins
! Take a guided tour of a winery
September 27-30, 2019 4 Days! $895
Dollywood & Smoky Mts
! Enjoy rides, crafts, and music shows at Dollywood theme park
! Take a scenic drive through the Smoky Mountains National Park
! Shop at Gatlinburg and on Music Row
October 12-15, 2019 4 Days! $895
Nashville, TN
! Watch a performance at the famous Grand Ole Opry
! Tour the Country Music Hall of Fame
! Tour RCA Studio B
! Shop at Opry Mills Center
November 8-11, 2019 4 Days! $895
Kings Island Winterfest Weekend
! Celebrate the Christmas spirit on this short weekend winter tour to Kings Island
! See Charlie Brown’s Christmas Spectacular, sing-a-longs, and the lighing ceremony
December 21-22, 2019 2 Day Weekend $475
(800) 800-9979Purple Pumpkin Tours
2019 Tour Application
APPLICANT'S NAME: ___________________________________
Tour Choice (check any for which you wish to register)
❍ Cincinnati Reds & Cincinnati, May 31-June 2, 2019 ❍ Niagara Falls, NY, September 27-30, 2019
❍ Yellow Springs, June 28-20, 2019 ❍ Dollywood & Smoky Mts, October 12-15, 2019
❍ Cedar Point, July 7-9, 2019 ❍ Nashville, TN, November 8-11, 2019
❍ Kings Island, August 9-11, 2019 ❍ Kings Island Winterfest, December 21-22, 2019
❍ Cancellation Insurance, All Tours: $5/day (allows cancellation up to 24 hrs before tour for 1 year future tour credit)
STAFF RATIO: ❑ Regular (1:4 ratio typically) ❑ Extra-Assistance (1:2 ratio typically) ❑ Your Personal Care Attendant or Family Member (1:1 ratio)
Note: Extra-Assistance tours have a surcharge of $70/day. Personal Care Attendant options have a surcharge of $175/day.
GENERAL INFORMATION: (Please Print!)
Age: _____________ Birthdate: ____________________ Height: __________ Weight: __________ Gender: Male_____ Female_____
Home Street: ______________________________ City: _________________ State: _____ ZIP: _________ Phone: (____)__________
Agency Name: _______________________________________________ Phone: (____)________________ Contact: _______________
Agency Address (if different from home address): Street: ___________________________ City: _____________ State: ____ ZIP: _______
To which address should trip information be sent? ________________________________________________________________________
Person completing this application: __________________________ Relationship or Title: _______________ Phone: (___)____________
Agency Fax: (____) _______________________ Emergency phone # (for nights or weekends): (_____) ___________________________
PHYSICAL INFORMATION:
Blind?__________ Eyeglasses?_________ Deaf?__________ Hearing Aid?__________ Control of bowel and bladder?_____________
Autism?__________ Diabetic?___________ If diabetic is insulin taken? __________ If insulin taken is this self-injected? ____________
Language/Communication difficulties ____________________
Fully ambulatory?___________ If no, what aids do you use? Man. Wheelchair_____ Walker_____ Cane_____
Medications (or attach) (Check here if no medications:) ❑
Medication Supervision: ______ completely independent ______takes meds with reminders ______ tour staff must keep possession
Seizures? _________ Known Allergies ____________________________ Diet restrictions ___________________________________
SPECIAL NEEDS INFORMATION:
Please describe any physical problems or physical disabilities, activity limitations, special equipment needed.
SPENDING MONEY/MONEY MANAGEMENT: (check one)
______ can independently handle all money _____ leaders should keep control of all money
______ can have some money (amount: ____________), but needs assistance with purchasing
SELF CARE SKILLS:
Independent Needs Assistance* Independent Needs Assistance*
Dressing _____ _____ Street Safety _____ _____
Bathing _____ _____ Eating _____ _____
Toileting _____ _____ Hygiene _____ _____
*Please describe how much assistance is needed in any of the skill areas listed above:
RISK & WAIVER: Participants, or their guardians or agents if applying on participant’s behalf, agree to participate at their own risk, and
release and hold harmless Purple Pumpkin Tours dbw Search Beyond Adventures, Inc. plus its staff and volunteers from liability for any harm
to person or property that may occur due to self-injurious behaviors, actions by any other tour participant, voluntarily departing from the tour
group, or malfunction of adaptive equipment. Purple Pumpkin Tours will not be responsible for loss or breakage of personal items brought or
purchased on the tour. Completion of this application and registration for a tour explicitly concedes agreement to these terms.
Mail application with minimum 50 percent payment to:
Purple Pumpkin Tours • 245 E Old Sturbridge Rd, Brimfield, MA 01010 • (800) 800-9979 • Fax: (877) 721-3409You can also read
