Overnight Pass Request | New Beginning Sanctuary

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Eligibility Check

All criteria must be met to request a pass

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Answer all eligibility questions. If you answer No to any question, you are not eligible for a pass at this time.

Do you have a zero program fee balance?

✓ Yes ✗ No

Have you been in the program at least 45 days?

✓ Yes ✗ No

Have you completed your required weekly meetings?

✓ Yes ✗ No

Do you have no active violations or disciplinary actions?

✓ Yes ✗ No

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Pass Duration

Select how long your pass will be

24 Hours

Single overnight stay

48 Hours

Weekend / two-night stay

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Pass Details

Provide your departure and return information

Full Name *

House / Unit *

Date Leaving *

Time Leaving *

Date Returning *

Time Returning *

Staying With *

Contact Number *

Address Staying At *

Alternate Number

House Manager *

Location / City *

Date of Request *

Time of Request *

Reason for Pass *

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Personal Agreement

Please read and acknowledge the pass terms

By submitting this overnight pass request, I acknowledge that I am responsible for following all program rules during my absence. I understand that this pass may be revoked at any time at the discretion of program staff. I agree to return by the stated time and to contact my house manager immediately if any issues arise during my absence.

I have read and agree to the terms above. My submission serves as my digital signature.