Royal Pines Client Application - Downtown Jimmie Hale Mission, Inc.

PLEASE NOTE:  All incoming clients are required to take a COVID-19 test before entering the program. We are more than willing to assist you in the process if needed. Please call us at 256-352-9444 if you have any questions about testing.

Royal Pines Client Application

Step 1 of 6

  • Applicant Information:

  • Date Format: MM slash DD slash YYYY
  • *This email will be used for general contact needs and is where you will receive a copy of your completed application as well as any necessary follow-up information.
  • Emergency Contact Information:

  • Additional Information:

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