Prison Invasion Registration
Prison Town USA will be holding a two-day prison invasion at the Idaho State Correctional Institute, 
in Boise, on May 22 & 23, 2010.  We will be meeting at the Lowe’s Parking Lot at 7990 Overland Road in Boise.
We will ride from there to the Prison for the invasion.   
Note: the orientation starts at 10:00am SHARP, be there at 9:30 am!

Day		Meet at Lowe’s	Orientation 	Leave for Prison	Exit the Prison
Saturday	9:30		10:00am sharp	10:30am			4:00pm
Sunday		9:30		10:00am sharp	10:30am			4:00pm

In order to participate in this event, a background check performed by ISCI is required.  
Please complete the following information and return by March 30, 2010 to:
Fax to Debbie Bachmann (208) 323-2016
Call Debbie to confirm complete transfer at (208) 323-2015
Or
E-mail to Dave Keyes dkeyes@homeinternet.net
Dave will E-mail back to confirm safe transfer

Full Legal Name:  _______________________________    SSN: ___________________

Address: ______________________________________   Date of Birth: _____________

City: ___________________________ State: _________________ Zip: _____________

Email:  _______________________________________   Phone: ___________________

All the States you have lived in for the past 10 years:
	
_______________________________________________________________________

What days can you attend?             	Sat:  ?   	Sun:  ?      
How will you get to the prison?       	Rider:  ?      	Passenger:  ?     Car/Truck:   ?

Housing:
Out of town:
What nights do you need housing?       	Fri:  ?     	Sat:  ?         Sun:  ?      

Are you  O.K. with indoor pets?	    	Yes:  ?     	No:  ?

Other travelers in your group (we’ll try to keep you together):

_______________________________________________________________
Do you have any special needs? (No stairs, etc.)

_______________________________________________________________
In Town:
Would you like to Host out-of-town CMAers?	Yes:  ?    No:  ?

How many people can you host?  	Fri ____;    Sat ____;   Sun ____;

Do you have indoor pets?      	Dogs:  ?     Cats:  ?    Other:  ________       

Please complete this form *ONLY* if you plan to attend!