House Rules Acknowledgment | True Reflections Community Development

Section 1

Resident Information

Full name

Participant ID (optional)

Phone

Email (optional)

Residence / house (optional)

Move-in date (optional)

Section 2

Initial Each Rule

Pre-admission drug and alcohol test (UA and breath) is required before move-in.

Your initials

I understand and agree.

I am subject to random UA and breath testing at any time. Refusing, not producing within 2 hours, or tampering counts as a positive.

Your initials

I understand and agree.

This is a sober living environment: no alcohol, drugs, THC/CBD, kratom, or paraphernalia — for me or my guests.

Your initials

I understand and agree.

Curfew by phase, sign-in / sign-out every time I leave, and quiet hours 10 PM – 7 AM.

Your initials

I understand and agree.

Daily chores, the weekly rotation, and the Saturday deep clean.

Your initials

I understand and agree.

Visitation: approved visitors only, common areas only, no overnight guests; children supervised by their parent at all times.

Your initials

I understand and agree.

Room and property inspections and searches.

Your initials

I understand and agree.

Relapse response, violations, and discharge policy.

Your initials

I understand and agree.

Signature

Resident Acknowledgment

I have read, or had read to me, the True Reflections House Rules & Procedures Manual. I understand this is a sober living environment, that I must provide a negative drug and alcohol test before moving in, and that I am subject to random testing at any time during my stay. I agree to follow the rules and understand the consequences for violations, including discharge.

Type your full name as your signature

Date