Boronia Pre-release Centre for Women

Acknowledgement*

I acknowledge that this social visit booking is only tentative until I receive a confirmation text message.I agree for the collection of my personal and other visitor information for the purpose of social visit booking.

Resident's Full Name*

First NameLast Name
Have you visited this resident before in Boronia Pre-release Centre for Women?*

YesNo
As you have not visited this resident before, proof of identity is required when you attend your visit when confirmed. Please complete the following forms:
- Visitor Declaration Form - witnessed by a person authorised under Oaths, Affidavits and Statutory Declarations Act 2005 and emailed to the prison prior to your visit.
- Visitor Identification Form - Visitors are to ensure they have their 100 points of ID

Adult Social visitors

Must be aged 18 years and above with a valid photo ID.
How many additional adults visiting?*

012
Full name (Adult Visitor 1)*

First NameLast Name
Date of Birth (Adult visitor 1)*

DayMonthYear
Must be 18 years old and above to visit.
Relationship to Resident (Adult visitor 1)*
Full name (Adult Visitor 2)*

First NameLast Name
Date of Birth (Adult visitor 2)*

DayMonthYear
Must be 18 years old and above to visit.
Relationship to Resident (Adult visitor 2)*

Preferred date and time of visit*
A confirmation text message will be sent to the registered mobile phone number when booking is confirmed.
Please verify that you are human*
Should be Empty:

Adult Social visitors