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FLORIDA JUSTICE CENTER
INTAKE FORM / FORMULARIO DE ADMISIÓN

English

Choose the option below that relates to your need.

Select an event name if you are planning to attend the legal clinic or second chance event on that date and location.

Español

Elija la opción anterior que se relacione con su necesidad.

NOTE: If you are planning to attend an upcoming event, please complete the form above for that event.

Please complete the fields below. Someone will contact you within two (2) business days by phone or email.

Por favor complete los espacios de abajo. Alguien se comunicará con usted dentro de los dos (2) días hábiles por teléfono o correo electrónico.

Please complete the fields below ONLY if you are planning to attend the Second Chance Event in Jacksonville on August 20, 2022.

Please complete the fields below ONLY if you are planning to attend the Second Chance Event in Stuart on August 27, 2022.