Vegas Freedom Fund Referral
Use this form if you would like to have someone bailed out by the Vegas Freedom Fund
Your Name *
Your Contact Information (phone/email) *
Who should be bailed out? *
How do we contact them when they are out?
Which Jail Are They In? *
Is there anything else you would like us to know? (special needs: medications, diagnoses, other)
Emergency Contact Name and Contact info
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