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CORRECTIONAL SYSTEMS, INC. APPLICATION AND APPROVAL LIST FORM 1. Visitor's Name: 2. Visitor's Address: | 3. Name of inma 4. Visitor's Identific jon: fraudulent, you will not be allowed to a visit) Date of Birth Other identification (Specify)—-—-- | - | | Green Card GA 10 Card (NO BANK CHECK CARDS) ’ WISTTOR STATEMENT _ Lwill net introduce nor attempt to introduce weapons, firearms, explosives, alcohol, narcotics, . narcotics paraphernalia, recording equipment, cameras, prescription drugs, pets, < or any item not specifically authorized by staff prior to visit. b. | agree that | will not leave the visiting area with any inmate. c, Iwill supervise these with me under 18 years of age, keeping them constantly under my controt ir in the visiting area. _ bo | Lunderstand that if |, or my minor visitors viclate’ any visiting rule ating any visit the visit may be bc terminated by staff. @ . Lunderstand that my person and my possessions may be subject to search for contraband items and | hereby consent to the search. — I will keep my affections in control. | ‘understand that } will not be allowed to visit in see-through tops or other clothing considered to be too revealing. 5. Hf you are a former inmate of you are currently under supervision of any law enforcament agency, list your current status and your reason for this visit: mm §. H you ara driving, please describe: your vehicla, including the year, make model, color ard license _ number. NOTE: Refusal to agree to any of these conditions will result in you being denied visiting privileges. .. | have read, |.understand and | agree to the above. | understand that if! have questions conceming an authorized items, [ should consult with staff. | am also aware the visiting area is monitored.