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Bus Schedule
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Talking to Children
Resources
*
Required
First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
*
5 October 2009
Ethnicity
*
Select
African American
White
Latino
Asian
Other
Have you been approved by the prison to visit?
Yes
No
Don't Know
Mailing Address where we can send a confirmation letter
*
City
*
California Zip Code
*
California ID or Driver' s License #
*
Email
*
Your relationship to the woman in prison
*
Select
Aunt
Brother in Law
Brother/ Step
Child
Child's Father
Cousin
Daughter in Law
Daughter/ Step
Ex-Husband
Father in Law
Father/Step
Foster Brother
Foster Parent
Foster Sister
Friend
God Brother
God Mother
God Sister
Granddaughter
Grandfather
Grandmother
Grandson
Guardian
Husband/Partner
Mother in Law
Mother/Step
Nephew
Niece
Partner/ Companion
Sister in Law
Sister/ Step
Social Worker
Son in Law
Son/Step
Uncle
Volunteer
Home Phone
*
Work Phone
*
Cell phone
*
Emergency Contact
*
First Name
Last Name
Contact No.
Names of anyone else coming on the visit with you (maximum 4 more people):
First Name
Last Name
Male
Female
Date of Birth
Relationship to woman in prison
California ID or Driver's License
5 October 2009
Select
Aunt
Brother in Law
Brother/ Step
Child
Child's Father
Cousin
Daughter in Law
Daughter/ Step
Ex-Husband
Father in Law
Father/Step
Foster Brother
Foster Parent
Foster Sister
Friend
God Brother
God Mother
God Sister
Granddaughter
Grandfather
Grandmother
Grandson
Guardian
Husband/Partner
Mother in Law
Mother/Step
Nephew
Niece
Partner/ Companion
Sister in Law
Sister/ Step
Social Worker
Son in Law
Son/Step
Uncle
Volunteer
First Name
Last Name
Male
Female
Date of Birth
Relationship to woman in prison
California ID or Driver's License
5 October 2009
Select
Aunt
Brother in Law
Brother/ Step
Child
Child's Father
Cousin
Daughter in Law
Daughter/ Step
Ex-Husband
Father in Law
Father/Step
Foster Brother
Foster Parent
Foster Sister
Friend
God Brother
God Mother
God Sister
Granddaughter
Grandfather
Grandmother
Grandson
Guardian
Husband/Partner
Mother in Law
Mother/Step
Nephew
Niece
Partner/ Companion
Sister in Law
Sister/ Step
Social Worker
Son in Law
Son/Step
Uncle
Volunteer
First Name
Last Name
Male
Female
Date of Birth
Relationship to woman in prison
California ID or Driver's License
5 October 2009
Select
Aunt
Brother in Law
Brother/ Step
Child
Child's Father
Cousin
Daughter in Law
Daughter/ Step
Ex-Husband
Father in Law
Father/Step
Foster Brother
Foster Parent
Foster Sister
Friend
God Brother
God Mother
God Sister
Granddaughter
Grandfather
Grandmother
Grandson
Guardian
Husband/Partner
Mother in Law
Mother/Step
Nephew
Niece
Partner/ Companion
Sister in Law
Sister/ Step
Social Worker
Son in Law
Son/Step
Uncle
Volunteer
First Name
Last Name
Male
Female
Date of Birth
Relationship to woman in prison
California ID or Driver's License
5 October 2009
Select
Aunt
Brother in Law
Brother/ Step
Child
Child's Father
Cousin
Daughter in Law
Daughter/ Step
Ex-Husband
Father in Law
Father/Step
Foster Brother
Foster Parent
Foster Sister
Friend
God Brother
God Mother
God Sister
Granddaughter
Grandfather
Grandmother
Grandson
Guardian
Husband/Partner
Mother in Law
Mother/Step
Nephew
Niece
Partner/ Companion
Sister in Law
Sister/ Step
Social Worker
Son in Law
Son/Step
Uncle
Volunteer
Note:
Every adult MUST be an approved visitor, all minors MUST have their original birth certificate: all guardians MUST have stamped, court approved guardianship papers: adults accompanying minors MUST be the parent or have a notarised letter from the guardian giving them permission to bring their child to the prison
What is the name of the woman you are going to visit:
First Name
Last Name
CDCR#
*
I send her mail at (check one)
POB 92 or 99
POB 1508
Housing
I would like to register for the following trip:
Date of trip and departure city:
*
Select
2/28/2010
3/7/2010
3/14/2010
3/21/2010
3/28/2010
4/11/2010
4/18/2010
4/25/2010
5/2/2010
5/16/2010
5/23/2010
6/6/2010
6/13/2010
6/20/2010
6/27/2010
Departure City:
*
Select
NO BUS
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Santa Rosa
San Leandro
San Jose
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Perris
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Valencia
Antelope Valley
Bakersfield
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Los Angeles
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Redding
Chico
Sacramento
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San Bernardino
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Long Beach
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San Diego
Fresno
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Anaheim
Panorama City
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South Los Angeles
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San Dimas
Monterey Park
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Redding
Chico
Sacramento
Stockton
Seating is limited, so if you need to cancel, please call to let us know that we can give someone else your seat.
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