REGISTRATION FORM

Filling out this form below is not a guarantee of entrance into prison for PEP’s events. All requests for admission to a PEP event must be approved by the Texas Department of Criminal Justice (“TDCJ”). By filling out this form, you authorize PEP to submit your information to TDCJ for approval. If you have any questions, please contact Stephen Fucile at his email or (512) 409-9909.