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Application For Assistance

Please complete this application to apply for assistance from The RescYOU Group.  If you need any assistance in completing the form, please contact Reecie Gilmore @ 361-944-4226. 

* - Denotes required field.

Please select parish of current residence. The RescYOU Group serves the parishes listed. If "other" is selected, we will do our best to guide you to the appropriate organization in your area.
Child's Gender
Assistance Required*
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Your application was submitted successfully. Someone with The RescYOU Group will contact you shortly.

Privacy Policy:

We keep your personal information private and secure. Your information will be protected and treated with sensitivity. All contact information is used for the sole purpose of The RescYOU Group.