I, Name ,have received, read, and understand the rules and regulations layed out by Serving Institute Residential Center. I agree to follow these to the best of my ability, and to accept any consequences that I may incure for my actions. I understand that my breaking of certain rules may lead to me being discharged from the program, and immediate removal from the residence. I agree to comply with any and all instruction given by the staff at Serving Institute Residential Center; and if I have a grievance for any reason, I will follow the procedure immediately after complying with staff instructions