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 Brian Troy at his email or (281) 841-2202.

Cleveland BPC RSVP

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

  • CONTACT INFO

  • (If your Driver's License says "Michael" but you prefer "Mike," indicate that here.)
  • Date Format: MM slash DD slash YYYY
  • RELATIVES IN TDCJ

  • YOUR PRIOR CONVICTIONS

  • Select NO if you only served time in TYC and/or county jail. If you select YES and are currently on parole, you must provide written approval from your parole officer to attend graduation in prison.
  • ADDITIONAL CONTACT INFO

  • Job Title (i.e. Owner, CEO, Retired, etc.)
  • OPTIONAL

  • This will help us to ensure that you are grouped with the person/group who invited you.
  • We might include a portion of what you write in the graduation program, so please share anything that you feel would encourage our graduates or their families.
  • Feel free to add comments, questions, etc.
  • This field is for validation purposes and should be left unchanged.