Community Testimonial

Community Testimonial

This form should be filled out by participants and individuals who have used our center.
Name

First NameLast Name
Date

MonthDayYear
Date
Location

PortlandGrants pass
Please write about how True Colors Recovery and/or Rogue Recovery center has positively impacted your recovery or community. *
I give True Colors Recovery permission to use my first name and last initial. (by clicking no, my testimonial will be shown anonymously with no identifiable information)*

YesNo
I hereby provide True Colors Recovery with permission to use my testimonial in reports or marketing material. True Colors Recovery may use the above testimonial on social media, printed material, website, or during the aquisition of grant funding. I understand that if I no longer want the organization to use my testimonial I must directly contact staff and request for my testimonial to be removed.
Signature

Powered by Jotform SignClear
Should be Empty: