The Lighthouse Application

At The Lighthouse, all environment, guidance, and rules are intended to provide you with a future wholesome life. We work together on all your activities as all are a part of your recovery. The following are guidelines to having a successful recovery and future enjoyable, meaningful, and successful life.

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Name
Phone
Email
Date of Birth
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Date of Sobriety
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DD
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YYYY
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This form was created inside of Shepherd of the Valley Lutheran Church. Report Abuse