Fee Schedule Agreement
I, Client first name Client last name understand and acknowledge that I am entering into a recovery program. My enrollment in this program is voluntary.
Please check the option that applies below:
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DUE ON FIRST DAY OF STARTING PROGRAM:
Initial starting program fee = $275.00 (includes 1st Week) + prorated amount for starting in the middle of the week.
WEEKLY FEE = $175.00 Fee Paid on Sunday
If your balance is not at zero, restrictions will apply. (NO OVERNIGHT PASSES, DAILY CURFEW, AND OTHER PRIVILEGES AT DISCRETION OF STAFF; INCLUDING GETTING RELEASED FROM THE PROGRAM)
If you are past due; 75% of all compensation to you (from any source), goes towards paying said fees.
Program fees are a priority, you should be able to budget and plan for other expenses, such as food, fines, court costs etc. Most courts and P.O’s will work with you as they understand that housing is a basic primary need. If you are having any issues please get with your house manager and/or program coordinator to resolve any conflicts before spending any income.
Signature: Signature
Manager: Oren Golanski Date: Date
Contract
NBSNC Residential Agreement (Updated Oct 2025)
1. Behavior That Will Result in Me Choosing to Leave NBSNC
Zero Tolerance for Alcohol and Drugs: You will not possess or use alcohol or drugs on or off the NBSNC property. This includes any substances that alter the mind or mood (e.g., Kratom, CBD, synthetic drugs). Violations will result in me choosing to leave the program.
Respectful Behavior: Threatening, abusive, discriminatory, or assaultive behavior is not acceptable. Physical violence, theft (including food), destruction of property, and all listed behavior will result in me choosing to leave the program.
Weapons: Weapons, including knives and firearms, are prohibited. Violations will result in me choosing to leave the program.
Sexual Misconduct: You agree to not engage in sexual misconduct or harassment. Any relationship between residents and staff is strictly prohibited, and violations will result in me choosing to leave the program.
Criminal Activity: Engaging in criminal behavior on or off NBSNC property will result in me choosing to leave the program and may be reported to authorities.
Financial Misconduct: Financial exploitation or dealings between residents are prohibited. Borrowing or loaning money, bartering, exchanging, or selling personal property, or the solicitation thereof is prohibited within NBSNC. Such practices can and frequently do lead to
misunderstandings and conflict between individuals and program members in general and will result in me choosing to leave the program.
Substance Abuse Reporting: If you are aware of substance use or other violations by another resident, you have an organic responsibility for keeping the house safe from others who wish to openly disregard those in the house and report it to NBSNC staff.
Smoking and Vaping: Smoking or vaping is prohibited inside the building.
Chores and Cleanliness: You must complete your assigned chores on the days assigned to you and maintain cleanliness in your room and common areas.
Recovery Meetings: You agree to attend at least 4 recovery-based meetings per week. If you are not working or working less than 30 hours per week you must attend 5 meetings per week.
Curfew Compliance: You must comply with the curfew rules set forth by NBSNC.
2. Zero Tolerance Policies
Substance Abuse: NBSNC has a strict zero-tolerance policy for all forms of alcohol, drugs, and related paraphernalia. A violation of this policy will result in me choosing to leave the program.
Violence and Theft: NBSNC maintains a zero-tolerance policy for any form of violence, threats, intimidation, discrimination or theft. Any such behavior will result in me choosing to leave the program and may be reported to authorities.
3. Program Participation
Voluntary Participation: Your participation in the program is voluntary. By paying the program fee, you are a participant, not a tenant, and these fees are not rent.
Program Fees: Fees are due weekly on Sundays. Failure to pay on time may result in me leaving the program. If you cannot pay your dues, you must notify your program director and executive director about your payment plan. It is up to the director's discretion to agree
to your payment plan. Communication is a key component of your payment plan. Please communicate early and often.
Program Fees are: $175 per week, paid every Sunday. Entry Fee: $175 first week's program fee + $100 admission fee (NOT REFUNDABLE) = $275 total entrance fee.
Vacating the Property: If I am asked to leave the program, I must vacate the property within one hour with all belongings. Any belongings left behind will become the property of NBSNC.
4. Chain of Command for Issues or Complaints
House Manager
Housing Director
Executive Director (for grievances against the Housing Director)
5. Accountability and Technology Use
One Step Software: You must download and use the One Step app to check into recovery meetings, Intensive Outpatient Program (IOP) sessions, and employment (only if your work keeps you past curfew and at the request of the house manager or directors).
6. Curfews, Lights Out, and Nightly Check-in
Curfew: Sunday to Thursday: Curfew is 11:00 PM. Friday to Saturday: Curfew is 12:00 AM. If attending a meeting or employment outside of curfew, you must seek approval from NBSNC staff. You may also be asked to check in and out via the One Step app
Lights Out: Lights out is one hour after curfew. Sunday to Thursday: 12:00 AM. Friday and Saturday: 1:00 AM. During lights out, common areas should be quiet and shut down. Laundry and cooking are not permitted after lights out. If using devices (Example: TV in your room you must wear earphones so you do not disturb your roommate).
Late Arrival: I understand that if I arrive late, I may be subject to an immediate drug screening (UA) at my own expense of $10.
Check-in Policy: I agree to inform my house manager via GroupMe when I am home for the night. This policy ensures that everyone is accounted for and safe.
7. Overnight Passes
On your 31st day, you may request and receive 2 overnight passes per week. Requests must be submitted at least 24 hours in advance for approval. To receive overnights, you must be current on your dues, attend all your meetings, do your chores, and keep a clean personal space. Behavior is also considered when approving passes. You must request your overnight in a group chat (NOT GROUP ME) with your house manager and mens director.
8. Sexual Misconduct and Relationships Sponsors
Sexual Misconduct: Sexual misconduct, including inappropriate touching, kissing, or sexual involvement, and verbal sexual harassment is prohibited.
Relationships: NBSNC advises and encourages residents to avoid relationships during early recovery. Most people will tell you the fastest way to go “back out” is to be in a relationship too soon. Swipe left!
9. Drug Testing
Random Drug Testing: Random drug screenings are required. Failure to complete within one hour or refusal will be treated as a positive result and lead to dismissal. b Testing for THC upon Entry: If positive, I must pay for a $50 lab test, re-test in 30 days and pay $50 for lab test, and show decreased levels or be dismissed.
10. Tobacco Use
Designated Smoking Areas: Tobacco products may only be used in designated outdoor areas. Smoking or vaping indoors will result in my choosing to leave the program.
11. Medications
Disclosure and Storage: All prescription medications must be disclosed. Controlled meds stored by staff and dispensed weekly/daily (At staff's discretion). NBSNC is MAT Friendly (Suboxone max 8mg/day). Suboxone distributed weekly and stored securely. Count discrepancies = dismissal. Taper plan must be discussed with staff upon entry
12. Weekly House Meetings
Mandatory Attendance: Weekly house meetings are required. Failure to attend will result
in me choosing to leave the program.
13. Recovery Meetings, Classes, In-house 12 Step Meetings and Sponsors
Mandatory Recovery Meetings: You must attend at least 4 recovery meetings per week. If you are not working you must make 5 meetings per week.
Approved meetings include: IOP, AA, NA, CA, Religious Service, Religious Study, Celebrate Recovery, etc. Must check in with One Step app. After six months of sobriety, meetings requirement drops to 3 per week.
In-House Meetings: Each house may hold one in-house AA/NA meeting weekly that counts if it meets the minimum criteria.
Sponsor: Must have a sponsor within 21 days of entering.
14. Resident Rooms
Visitor Restrictions: Visitors are not allowed in your room. Guests must be sober and approved. Guests must leave 1 hour before curfew (10 PM Sun–Thu, 11 PM Fri–Sat). Visits limited to 2 hours.
15. Overall Cleanliness
Cleanliness Standards: You are responsible for keeping your space neat, making your bed daily, and keeping your personal belongings tidy. All chores must be completed on assigned day. Shower daily and wash bed linens weekly.
16. Beds Must Be Made Daily
Beds must be made daily as part of morning accountability.
17. Employment Daily Routine
Job Search: If unemployed, must apply to 5 in-person or 20 online jobs daily with proof. Must be out of bed by 8:30 AM until 4:00 PM unless working or approved otherwise. (REMINDER- If you are not working, you must make 5 meetings per week)
18. Cameras
Cameras are present in common areas. Tampering will result in dismissal.
19. Gaming Systems Regulation
Use of gaming systems must be approved. Excessive use may result in the removal of the system.
20. Behavioral Reviews
Non-Compliance: If you fail to comply with rules outside zero-tolerance policies, you will be given a chance to improve. Habitual offenders are choosing to leave the program.
21. Refund Policy
Refund Policy: A 1-week notice is required if you plan to leave. Failure to do so forfeits current week’s fees. Overpaid fees will be refunded within 5 business days.
22. Parking Policy
Parking Rules: Follow house parking policy. Do not block driveways, mailboxes, or park in fire zones.
23. House Mindfulness and House Bills
Mindfulness: Be mindful of utilities. Turn off lights, conserve water, and wash full loads. Managers adjust thermostat only (70/68 winter). Help keep program fees low.
24. House Supplies Provided
House Supplies: NBSNC provides toilet paper, paper towels, and cleaning supplies. Residents are responsible for purchasing personal items such as food, clothing, and hygiene products.
25. Additional Privileges with Sober Time
Privileges: After six months of sobriety, weekly meeting requirements drop to 3 per week. Continued disregard for these rules will result in me choosing to leave NBSNC.
I Client first nameClient last name agree and understand that continued disregard for any of these rules will result in my choosing to leave NBSNC.
Signature Resident signature
Signature Staff Signature
Move-in date Date Resident Initial Initials Text field
Head Director (print): Oren Golanski
Director Signature:
Date: Date
Background Check Authorization Form
To whom it may concern:
I Client first name Client last name give consent and permission to New Beginning Sanctuary NC to compile and request a complete criminal background/history. This criminal background check shall remain in my file.
Client Signature:
Signed: Signature
Date: Date
Liability Waiver Advertising/Photo Release Form
NBSNCwill occasionally take photos of residents during activities and/or classes or at other times for the purpose of use in our website, brochure, or other advertising materials. We respect your privacy and would never use your image in our advertisements unless you specifically allow us to do so.
In consideration of my engagement as a model, upon the terms here with stated, I hereby give to New Beginning Sanctuary NC legal representatives and assignees, those for whom NBSNC, and those acting with NBSN Cauthority and permission:
a) The unrestricted right to copyright and use, re-use, publish, and re-publish photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction my own or factious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever.
b) I also permit use of any printed material in connection therewith.
c) I hereby relinquish any right I have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied.
d) I hereby release, discharge and agree to hold harmless New Beginning Sanctuary NC, their legal representatives or assignees, and all persons functioning under NBSNC permission or authority, or those for NBSNC is functioning, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.
e) I hereby affirm that I am over the age of 18 and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assignees.
Name: Client first name Client last name
Signature:
Signature
Date:Date
WAIVER OF LIABILITY
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
1. In consideration for receiving permission to participate in the New Beginning Sanctuary NC, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE New Beginning Sanctuary NC, their officers, agents, or employees(hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in such activity, while in, on or upon the premises where the activities are being conducted, REGARDLESS OF WHETHER SUCH LOSS IS CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullestextent allowed by law
2. I am fully aware of the risks and hazards connected with the activities of New Beginning Sanctuary NC, and I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being in the New Beginning Sanctuary NC Sober living program, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise, to the fullest extent allowed by law
3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage, or costs, including court costs and attorneys fees that Releases may incur due to my participation in New Beginning Sanctuary NC, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise, to the fullest extent allowed by law.
4. It is my express intent that this Waiver and Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of North Carolina and that any mediation, suit, or other proceeding must be filed or entered into only in North Carolina and the federal or state courts of North Carolina. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions.
IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age or guardian of minor child and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.
PARTICIPANT: Client first name Client last name
Participant signature:
Signature
Date: Date
Head Director: Text field
Date:Date
Proof of Residency
DATE:Date
To whom it may concern;
This letter is to certify, Text field has been a resident with New Beginning Sanctuary NC Sober Living since Date He/She currently resides at: Text field
This letter is to certify that, Text field pays $700 monthly in program fees, including utilities for his/her home at New Beginning Sanctuary NC Sober Homes. Food is not provided. Please contact me directly with any questions or concerns regarding these fees.
Paragraph
Sincerely,
Text field
New Beginning Sanctuary NC Medication Policy
New Beginning Sanctuary NC Sober Homes does not allow any narcotic medications except Suboxone. Participants are allowed to maintain possessin of a 7 supply of suboxone. Any remaining medication will be counted and locked up in the house safe. Participants will be given access to their medication for their weekly supply and once again counted to maintain a proper pill count.
o New Beginning Sanctuary NC does not administer medications.
o Clients will sign for their medication when they accept possession for self-dispensing.
o All other non-narcotic prescriptions are allowed only if they are prescribed to you by a doctor and are taken as prescribed.
o Medications are not shared with any other resident. Residents are responsible for taking care of their own prescription medications.
o You may not consume anything nor bring on property anything that contains alcohol, including but not limited, to over the counter medications or mouth wash.
o All medications must be disclosed, and at any time staff deems necessary, medications may be counted to confirm accuracy of dosages taken.
o Any changes in dosage must be confirmed in writing or by telephone to staff from the issuing doctor. This includes discontinuing of prescribed medications.
o Do not leave medications out where they are in the open or unprotected. Keep in a dresser drawer or with you at all time.
o You are responsible for the control or your non-narcotic medications and any deviations are considered abuse.
o Abuse of any medications will be considered a relapse and may lead to termination from the program.
o Any medication not used, will be turned in to the house manager to be locked up and turned over to the Director for disposal.
Client: Client first name Client last name
Date:Date
Client Signature:
Signature
Director: