This agreement is for a third-party payer for the Touchstone Program of Arch to Freedom in Boynton Beach, Florida.

I, __________________ (“payer”) certify that I am paying the program fees for __________________ (“resident”) to pay for their rent and services at Arch to Freedom. I understand and agree to the terms as follows:

I. The Security Deposit is $800 dollars and is due prior to resident living in the home and receiving services. $400 is a non-refundable administrative fee. Upon receiving this fee, Arch to Freedom will hold a bed for the resident for up to two weeks for no additional charge prior to the move in date. In order to hold the bed beyond 2 weeks, we may begin charging our standard monthly fees minus case management cost ($1800 per month at Keystone House and $1900 per month at the Lakehouse). The other $400 of the deposit is refundable provided the resident stays a minimum of 4 months, provides a 2 weeks notice before leaving, fully cleans the room including sheets, etc. and leaves all Arch to Freedom supplies supplied to the resident (laundry basket, sheets, towels, chargers, hangers, etc.) If a resident leaves Arch to Freedom before meeting these conditions, then the entire deposit is non-refundable.

II. Touchstone Program includes all services at our CORE Program housing, in addition to case management services, a therapy group once a week, and biweekly outings/ community building. Case management is a part of the program for a minimal 90 days and every resident begins with 2 case management session/mo. for at least the first month.

The program fees are as follows:

Keystone House:

2400/mo. (2 case management sessions per week)

2100/mo. (1 case management session per week)

1800/mo. (0 case management sessions per week)


2500/mo. (2 case management sessions per week)

2200/mo. (1 case management session per week)

1900/mo. (0 case management session per week)

Additional Case Management fees are $100/session

III. Program fees (“fees”) are due on the 1st of the month and are considered late on the 5th. It is important in order that we provide the best service that we can that all rent payments are paid on time. Arch to Freedom reserves the right to charge a $75 late fee for all payments that come in after the 5th. All payments paid by credit card online or over the phone incur a 2% convenience fee.

IV. Arch to Freedom reserves the right to charge a reduced case management fee ($75/hr) for additional time spent with the resident in unscheduled, extraordinary circumstances. This would only be in urgent situations that require an immediate response from the case manager. Other additional sessions that are scheduled would be at full price ($100/session) and communication and scheduling would occur prior to the charge. Any crisis management done by Arch to Freedom staff other than the case manager would be at no additional charge.

V. Arch to Freedom Refund Policy dictates that all fee payments are non-refundable, unless you have prepaid for a month before that month begins. This means that the security deposit, and program fees are non-refundable if any services are rendered during the month the fees were paid for or the resident resided at an Arch to Freedom property at any point during the month that the fees were paid for. Arch to Freedom owners may decide to issue a partial refund as a courtesy, but this is not guaranteed. By signing this agreement, the payer understands and agrees to this refund policy.

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