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If you are an alcoholic interested in participating in taking AA meetings into local jails, please complete the Corrections Application below and contact us at ingratitude@bellsouth.net for more information.
INFORMATION REQUIRED FOR ENTRY INTO THE ST LUCIE COUNTY DETENTION CENTER PINK PASS USE ONLY NAME: _______________________________________________________ ( Last Name) (First Name) (Middle Name)
CURRENT ADDRESS: ___________________________________________________ (Number) (Street) __________________________________________ (City, State, and Zip Code)
DATE OF BIRTH: _________________ RACE:______ GENDER: ______
SS# ___________________________________________________________
DRIVER’S LICENSE#: __________________________________________
HEIGHT: ________ WEIGHT __________ HAIR COLOR: ____________
EYE COLOR: __________ HOME PHONE#: (____) __________________
ORGANIZATION AFFILIATED WITH: ___________________________
MANDATORY: Personal info must be updated yearly |