Justice & Recovery Advocates, Inc.              "Choose Life" Programs Request Form
Today's Date *
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Agency Name Or Contact Name *
Phone Number *
Email (Proposal will be sent to this email!) *
Address for Program to take Place At- *
Services Requested
Special needs/requirements/additional information: *
Privacy Policy
This Privacy Policy governs the manner in which Justice and Recovery Advocates, Inc. (JRA) collects, uses, maintains, and discloses information collected from users of this web site (each, a “User”).Users’ privacy is very important to JRA. JRA is committed to safeguarding the information Users entrust to us. This web site is not directed at children under 13 years of age. All personal information obtained by JRA is treated as private and confidential. The information available to users of this website is intended only for the legitimate business use of JRA clients. JRA will not intentionally violate any right of privacy nor make such information available to third parties for solicitation by third parties. JRA comes into possession and knowledge of a limited amount of information necessary for it to provide its services to its customers and clients, but treats all information received as private and confidential. We encourage you to protect your anonymity if desired. In turn, respect others' anonymity. Do not take photos, videos, or screen shots of identifying information. Any obscene language or content that is offensive to other community members is prohibited. *
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