Referral/Registration Form

To Register by Phone, call 1-888-861-8300, then Mail the Referral Form to our office indicating location and date of class.

Our mailing address is: Impact Weekend LLC, PO Box 47, Caro, Mi. 48723

To Register by Email, open and fill out the .PDF registration form below, Save the completed .PDF form to your desktop, then email the completed .PDF form to impactweekendsharon@gmail.com

Please be advised that Impact Weekend has and will enforce a ZERO Tolerance Policy involving marijuana, both recreational and medical .

You are required to submit the payment for your IMPACT Weekend through SwipeSimple.com via one of the links below.

Please note, there will be a 4% convenience fee for using the credit card payment system.

Deposit $100

Pay Balance $250

Pay Full Amount $350

Sentencing Order / Referral / Registration Form

To Register by Email, download/open the 2024/25 Sentencing/Referral/Registration .PDF form via the link below. Complete the .PDF registration form in it's entirety, save the completed .PDF form to your desktop and email the completed .PDF form to impactweekendsharon@gmail.com

Open | Download Form Here

Payment plans are available, contact us to discuss how we can best assist you.