Please complete the Alumni registration
form to be included in the alumni activities. 

It is important that you identify how we can contact you in order to respect your privacy

By submitting this form you understand that you are signing up to be included in the Alumni Connect Contact list.  You will periodically receive correspondence and/or phone calls from the Sanctuary notifying you of alumni activities and to offer ongoing sobriety support.

* Contact me by the following methods: Email
* Date
Signature (Initials)
* Mailing Address
* Name
* Phone
* Email