Event Registration | Proverbs 22:6

Your event

Pick the event you are attending, then tell us if this is your first registration with Proverbs226.

Event

Are you a first-time registration with Proverbs226?

Yes, I am a first-time registration with Proverbs226. No, I have registered before. I would like to RSVP.

Step 1 of 1

RSVP — welcome back

You are already in our system, so this only takes a minute.

Full name

Email address

Phone number

T-shirt size (Adult)Optional — free for volunteers

Church or organisationOptional

Your information is protected and is never sold or shared.

Step 1 of 2

About you

This is a one-time form. We use it to receive clearance from the correctional facility for every volunteer.

Is any of your family members serving time in this prison?

YesNo

Full name (as shown on driver's license)

Email address

Phone number

Date of birth

Gender

MaleFemale

Are you a part of a church or organisation? If so, what is the name?Optional

Clearance details

The facility requires these to run your clearance. Sensitive numbers are stored securely and never included in plain emails.

Social Security Number

Driver's License #

Driver's License state

City of birth

State of birth

Country of birth

Please list any medication or metal plates in your body

T-shirt size (Adult)Optional — T-shirts are free for volunteers!

Your information is protected and is never sold or shared.

Step 1 of 4

About you

Ohio facilities follow ODRC requirements — a few extra details are required. This is a one-time form.

First name

Last name

Email address

Phone number

Date of birth

Country of birth

Gender

MaleFemale

Address & ID

Sensitive numbers are stored securely and never included in plain emails.

Street address

City

ZIP code

State

Last 4 digits of Driver's License #NA if you don't have a US Driver License — then fill the next field with a valid ID

Other valid IDRequired only if you have no US driver license

Please list any medication and metal plates in your body

T-shirt size (Adult)Optional

Church or organisationOptional

Emergency contacts

Correctional facilities strictly mandate three separate emergency contacts.

Emergency Contact 1 — Full name

Emergency Contact 1 — Relationship

Emergency Contact 1 — Phone number

Emergency Contact 1 — Street, city, state, ZIP

Emergency Contact 2 — Full name

Emergency Contact 2 — Relationship

Emergency Contact 2 — Phone number

Emergency Contact 2 — Street, city, state, ZIP

Emergency Contact 3 — Full name

Emergency Contact 3 — Relationship

Emergency Contact 3 — Phone number

Emergency Contact 3 — Street, city, state, ZIP

ODRC declaration

Required by the Ohio Department of Rehabilitation and Correction for every volunteer.

Do you wear a medical tag?

YesNoOther

Vehicle 1 — Make, model and license plateOptional — only if you are driving to the facility

Relationship to Incarcerated Individuals (Nexus)

No Nexus — I have no contact, affiliation, or relationship to any incarcerated person or supervisee currently under supervision of ODRC or any other criminal justice agency.Nexus — Requesting NO Contact: I have a connection to an incarcerated individual, but I do not wish to correspond, visit, or communicate with them while volunteering.Nexus — Requesting Contact: I have a relationship with an individual currently incarcerated/supervised and wish to maintain regular contact with them.Other

Nexus detailsOptional

Your information is protected and is never sold or shared.