FAMILY MEMBERS: Do not register here. This is only for executive volunteers. If you are a family member, register on the Family RSVP site.

Please indicate which event(s) you plan to attend.

Tuesdays in Cleveland at 9:30-11:00a
Thursdays in Cleveland at 9:30a-11:00a
Friday, May 18 | 11:30a-5p
Thursday, June 7 | 8:30a-5:00p
Friday, June 8 | 8:30a-1:00p
Friday, June 8 | 1:00p-5:00p



Name (as stated on your driver’s license)


Been there, done that, you have my information.




Have you ever served time in prison or state jail? (Select NO if you only served time in TYC and/or county jail).
If you selected YES and are currently on parole, you must provide written approval from your parole officer.



Title
Company
Address Line 1
Address Line 2
City
State
Zip
Email Address
Phone Number



Driver’s License Number (TDCJ security measure):

Driver’s License State:

I plan to attend more than four in-prison events this year.

I have a family member or relative housed at the Cleveland Unit.

How did you hear about PEP events?


Comments or Questions


Waiver of Liability and Media Release Agreement
I Agree to the above Waiver of Liability and Media Release Agreement