Redemption Community Placement Request

If you'd like to join a RC (Redemption Community), fill out this form below. If you have any questions please email tucson@redemptionaz.com

Your name *

Email address *

Phone number *

Address *

Gender *

Marital status *

Household members

Preferred day(s) of the week *

We may not have a RC open or available on your preferred day of the week, but please let us know your preference/availability below.

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

If you selected more than one, please let us know if you have a preferred order:

If you are married, will your spouse be attending the RC with you? If so, please list their name:

If you have children, will they be attending the RC with you? If so, please their names and ages:

What part of town do you live in? *

Examples: midtown, southeast, west, northwest, Vail, Marana, etc

Comments/Questions

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