PH.: (248) 851-5556

FAX: (248) 865-8386

A.R.M.

A.R.M. Program

P.O. Box 252404

West Bloomfield, MI48325

Accepting Responsibility is Mandatory!

WEST MICHIGAN AREA

THE A.R.M. PROGRAM

MINORS IN POSSESSION (MIP)

MARIJUANA AWARENESS PROGRAM (M.A.P.)

JUDGE/MAGISTRATE: / DISTRICT COURT: CITY:
PROBATION OFFICER: / PROBATION PHONE #: ( ) -
CHARGE: / DOCKET/CASE #:
NAME: / DATE OF BIRTH: SEX: M F
ADDRESS: / HOME PHONE #: ( ) -
CITY: / WORK/CELL #: ( ) -
STATE, ZIP: / EMERGENCY CONTACT:
MEDICAL CONDITIONS:
CONCERNS: / E-MAIL:
COMPLETE PROGRAM BY: mm/dd/yyyy / SCHEDULED SESSION: mm/dd/yyyy

→CALL The A.R.M. Program at (248) 851-5556 to register within 48 hours

PLEASE READ THE FOLLOWING AND SIGN BELOW:

This is to certify that I am participating in the program noted above. I understand that the cost of the program will be paid in full prior to attending the program. Failure to attend or make payment will be considered non-compliance. The court will be informed of this non-compliance and will act accordingly.

I understand: That there is no alcohol/illegal drug use prior to or during the Program.

I, , hereby authorize the A.R.M. Program to exchange information

with the (Referring Agency/Court). The extent of the information to be disclosed will be my attendance,

comments on my participation and attitude, services received, alcohol/drug screen results (if necessary), and recommendations for additional services when appropriate. The purpose of this disclosure is to assist this agency and or persons in arriving at an appropriate disposition in my case. This consent will expire when I am terminated from probation or whenever the program receives written notice of a change in my legal status. In addition, I agree to attend and satisfactorily complete the program according to the rules and regulations.

Participant's Signature: Date: 12/20/2018

Note: Payment must be received no later than two weeks priorto your scheduled date!

An additional charge of $50 will be charged for any re-scheduling.

Remit Payment of $275

Money Order (no personal checks) payable to: ''A.R.M." Mail to: A.R.M. Program

P.O. Box 252404

West Bloomfield, MI48325

Payment due Two Weeks Prior to Scheduled Session

OR For Credit Card Payments call 248-851-5556

Note: Include your name and program date with payment

A.R.M.

Accepting Responsibility is Mandatory!

Welcome to the A.R.M. Program. Please call our office at 248-851-5556 to see which location below you will be attending.
The following are requirements for the A.R.M. Program.

1. Please have someone drop you off at the Facility by 7:00 p.m. Friday of your scheduled weekend.

2. You must have a family member, friend, or significant other arrive for the Family session at 12:00 p.m. Sunday with final dismissal at 1:00 p.m.

3. Cellular phones, iPODS, Laptops, Radios, or other electronics are not allowed. Dinner is not served on Friday evening. Please eat prior to arrival.

4. Please bring all prescription medications in appropriate marked containers.

5. Tobacco products are allowed. All cigarettes must be in unopened packs.

6. If you have any questions please call the A.R.M. office at 248-851-5556.
PROGRAM CLOTHING LIST

Seasonal Personal Clothing NOTE:

Glove/Mittens Toothpaste & brush Daily change of There may be outdoor activities scheduled
Hats/Earmuffs Soap / Shampoo underwear/socks for the weekend. Please bring appropriate
Winter Jacket/Coat Comb/Brush T-shirts outerwear. NO Tank Tops, Short Shorts,
Rain Gear Deodorant Jeans / Sweatpants Halters, Half-Shirts Bringing contraband
Sweater Unopened drinks & 2 pairs of shoes: of any sort will result in termination from
Thermal Underwear Snacks if desired (gym shoes & the program.
Insect Repellant Appropriate reading outdoor shoes)
Sun Screen material Sleepwear

This list is not intended to cover all items, but is intended to give you an idea of what to bring to the A.R.M. weekend. We recommend loose fitting clothing that allows for movement and dressing in layers is preferable so that you can easily adjust to the temperature changes. Accommodations will be in lodges.

Camp Pendalouan (Check-in at Nikana Lodge)
1243 East Fruitvale Road
Montague, MI 49437-9540
231-894-4538 (For Directions Only)
Directions:
From the North:
Take US 31 South to the Colby Rd Exit, turn left onto Colby Rd. Go
1/2 mile to Silver Creek Rd and turn left. Go 5.1 miles, Silver Creek
Road will end at Russell Rd, turn left onto Russell. Go 2.4 miles,
Russell Road ends at Fruitvale Road.
Take a right on Fruitvale Road, go ½ mile, Camp Pendualouan
Is on the Right.
From the South
Take US 31 North to Russell Rd (approximately 6.5 miles past Apple Ave). Turn right onto Russell Rd.,
and take it until it ends (about 10 miles) at Fruitvale Road.
Camp Pendalouan is on the Right.
TIP:
Near the end of Russell Road, it begins to twist and turn. At one
point, past Owasippe Scout Reservation, the road splits.
Be sure to stay left.