Drug Court Curfew Request

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    Your Name (First and Last):
    Your Email:
    Your Home Phone Number:
    Your Drug Court Tracker:
    Your Treatment Counselor:
    Has your curfew extension been approved in group?:

    Please use the following area to explain your personal need for a curfew extension:


    I understand that this application is only a request for a curfew extension and that my curfew will remain unchanged until I have heard an affirmative answer from my tracker.

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