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Event Registration
All volunteers going to prison needs to be registered.
* Events will begin by checking into the prison between 8am - 8:30am
* Orientation will at 9am
* Required
Full Name (As it appears on your Drivers License)
Your answer
Date of Birth (MM/DD/YYYY)
*
Your answer
Social Security Number:
*
Your answer
Drivers License Number (State and #)
*
Your answer
Gender
*
Male
Female
Race
*
Choose
White
African American
Asian
Hispanic
Others
Your T-shirt Size
Small, Medium, Large, XL, 2XL, 3XL
Your answer
Prison(s) that you would like to work
Choose the ones that you would like to attend
--------------------------------------- ALL SC Prisons ---------------------------------------------------------
Leath, SC (Feb 29nd)
Kershaw, SC (Changed to Future Date: TBD)
Lee, SC (March 28th)
Lieber, SC (April 4th)
McCormick, SC (April 4th)
Trenton, SC (April 11th)
Ridgeland, SC (May 23rd)
---------------------------- ALL NC Prisons ------------------------------------------
Anson, NC (April 25th)
Central Prison, NC (Feb 29th)
Albermarle, NC (May 9th)
Caswell, NC (May 2nd)
------------------------------ ALL South Dakota Prisons ------------------------
Mike Durfee, SD (June 20th)
Pierre, SD (August 8th)
Other:
Place of Birth (City and State)
*
Your answer
Email Address
*
youremail@domain.com
Your answer
Phone Number
*
Your answer
Home Address
Your answer
Is this your first time volunteering with Proverbs226?
Yes
No
Clear selection
Do you need to take any medication (during the event)?
Yes
No
Clear selection
Any special needs - when visiting the prison?
Your answer
Are you Proverbs226 Student?
*
Yes
NO
Submit
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