How do you intend to pay for Courage House?*Parents/Family AssistanceGovernment AssistanceOutside Scholarship/GrantSavingsOther
Are you required to register as a sex offender?*YesNo
Do you have any current medical conditions?*YesNo
Are you currently in treatment?*YesNo
Have you ever been in treatment?*YesNo
Providing a secure recovery environment based on the wisdom & success of 12 step programs; AA & NA way of life.