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Fill the form below online or download the form below and email it to lloyd@restoringlivestoday.org

Application for House

Application for House

Guest should, if possible, bring their own:
• Bath towels and toiletries
• Laundry soap
• At least a 30-day supply of any prescription medications and/or renewable prescriptions

I attest to the fact that I have read all the material on this application, have answered each question honestly and want to achieve a comfortable recovery from alcoholism and drug addiction without relapse. I also acknowledge that I have read and agree to the house guidelines provided.


Sober Application Restoring Lives 18