Minnesota Sober Housing

Pass Requests

Overnight Pass Request

Please complete this form if you are requesting an overnight pass request.  All program fees must be current and clients must be in good standing with all policies for passes to be approved. 

You will receive an response back approving/denying pass request so please provide a valid email address.

First Name, Last Name: *
Facility Name: *
Email Address: *
Date Leaving: *
Date Returning: *
Who will you be spending your time with?: *
Specific Address Where you will be:: *
Telephone Number(s) Where you can be reached while pass:: *
Who will you be spending your time with?:: *
Program Fees current?::