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School*
Address*
Street Address City State ZIP Code
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Donovan Prison Holiday Registration

Richard J. Donovan has partnered with Star/Pal to make December 25th a special visit with your family member for the holidays. Once you secure a visit with R. J. Donovan, please register your children below. Your family will be entered to receive a surprise during your visit.

"*" indicates required fields

Parent/Guardian Name*

First Last

Parent/Guardian Email Address*

Parent/Guardian Phone Number*

Child's Name*

First Last

Child's Gender*

Male

Female

Transgender

Non-binary/non-conforming

Prefer not to respond

Child's Age*

Are there any other children living at home?*

Yes

No

If yes, our Director of Operations, Mayra Nunez, will reach out to you for more information.

Inmate Name*

First Last

Inmate CDCR #*

Time Slot of your Visitation*

Please put start to end time.

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"*" indicates required fields

Contact Information

Name*

First Last

Email*

Phone*

School Information

School*

School's Address*

Affiliation to School*

Classroom Grade Level*

# of Students in Class*

Type of Class*

Please give us a little more information about your class and if it’s special day, bilingual, after-school, etc.

How would you like our officer to join your classroom?*

Availability

Please list your top 3 available days in order of preference.

First Choice*

Second Choice*

Third Choice*

Time Availability*

Please provide us some info on the best time for an officer to join your class for Storytime and we will do our best to work with your class schedule.

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Friday Availability*

1st Choice

2nd Choice

3rd Choice

Please list your top 3 available Fridays in order of preference.

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Classroom Grade Level*

I am the…(Required)

Student

Parent/Guardian

Student Name(Required)

First Last

Program Interest(Required)

WE CAN (6th-8th grades)

TUTORING (Middle & High School)

MAKING CHANGES (High School)

Student Email Address(Required)

Student Phone Number(Required)

School Name(Required)

Grade Level(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email Address(Required)

Parent/Guardian Phone Number(Required)

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Name*
First Last
Email*
Phone*
School*
Address*
Street Address City State ZIP Code
Grade*
CAPTCHA

Name*
First Last
Email*
Phone*
School*
Grade*
CAPTCHA

Name*
First Last
Email*
Phone*
School*
Address*
Street Address City State ZIP Code
Grade*
CAPTCHA

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