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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
Name
First and Last Name (as it appear on your DL)
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Social Security Number:
*
xxx-xx-xxxx
Your answer
Drivers License# and State
*
xxxxxxxxxxxxxx-NC or XXXXXXXXXX-SC
Your answer
Gender
*
Male
Female
Race
*
White, African American, Asian, Hispanic...
Your answer
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
Perry Correctional, SC (Jan 19th)
Central Prison, NC (Feb 2nd)
McCormick Correctional, SC (Feb 16th)
Albermarle Correctional, NC (March 2nd)
Ridgeland Correctional, SC (March 16th)
Lanesboro and Brown Creek, NC (March 30th)
Camille Correctional, SC (April 6th)
Leath Correctional, SC (April 20th)
Lieber Correctional, SC (May 4th)
Email Address
*
youremail@domain.com
Your answer
Phone Number
*
Your answer
Name of the Church or Organization affiliation:
Your answer
Are you Proverbs226 Student?
Yes
No
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