• Declaration and Acknowledgment

  • Acknowledgement*

  • Please read and understand the following information prior to your visit:

    • Visiting prisons
    • Visitor Code of Conduct
    • Visitor Dress Standards
    • Information Privacy Statement
  • Format: 0000 000 000.

  • A confirmation text message will be sent to the registered mobile phone number when booking is confirmed.

  • Do you or any visitor(s) have any health conditions or special requirements that the prison needs to be informed about?
  • Do you or any visitor(s) have a hearing impairment?
  • Do you require wheelchair access?

  • Prisoner details

  • Is this prisoner a Restricted Prisoner*
  • Have you visited this prisoner before in Roebourne Regional Prison?*

  • 100 points of ID will need to be presented at the gate. A Visitor Identification Form and the visitor Visitor Statutory Declaration Form will need to be completed prior to entry into the prison. These forms would be made available at the Gatehouse to complete.

    Please arrive 15 minutes prior to the scheduled visit time to allow for mandatory security screening and completion of forms.

    Visitors arriving after the scheduled start time may be subject to restrictions or cancellation of their visit.

     

  • Date of Birth (Primary visitor)*
     / /

  •   Note: No more than 5 visitors allowed per social visit.

    • Maximum of 1 adult and up to 4 children or
    • Maximum of  2 adults and up to 3 children or
    • Maximum of 3 adults only and no children allowed.

  • Social visit booking options

  • Please read the following important information as you need to make a correct selection. Any incorrect selection may cause delay in reviewing and approving requests.

    Note: There are no visits on Good Friday and Christmas Day.

    All times shown below are Australian Western Standard Time (AWST).

    Visitors should plan to arrive at the prison at least 15 minutes prior to the scheduled visit time for security screening.

    Visitors arriving after the scheduled cut-off time will be refused entry.

    The Visitor’s Centre is the first building as you walk down the stairs from the carpark on the right-hand side.

  • Select a Social Visit booking type*
  • Mainstream Prisoners Social Visit*

  • A confirmation text message will be sent to the registered mobile phone number when booking is confirmed.

  • Restricted prisoners Social Visit*

  • A confirmation text message will be sent to the registered mobile phone number when booking is confirmed.

  • Additional Adult Social Visitor details

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

  •   Note: No more than 5 visitors allowed per social visit.

    • Maximum of 1 adult and up to 4 children or
    • Maximum of  2 adults and up to 3 children or
    • Maximum of 3 adults only and no children allowed.
  • Date of Birth (Adult visitor 1)*
     / /
  • Date of Birth (Adult visitor 2)*
     / /

  • Children visitor details

    Must be accompanied by an authorised adult visitor.
  • How many children visiting?*

  • Note: you have selected 1 primary visitor and 1 additional adult visitor. Only up to 3 children visitors are allowed.

  •   Note: No more than 5 visitors allowed per social visit.

    • Maximum of 1 adult and up to 4 children or
    • Maximum of  2 adults and up to 3 children or
    • Maximum of 3 adults only and no children allowed.
  • Date of Birth (Child visitor 1)*
     / /
  • Emergency contact (Child visitor 1)*
  • Date of Birth (Child visitor 2)*
     / /
  • Emergency contact (Child visitor 2)*
  • Date of Birth (Child visitor 3)*
     / /
  • Emergency contact (Child visitor 3)*
  • Date of Birth (Child visitor 4)*
     / /
  • Emergency contact (Child visitor 4)*
  • 0/200
  • 0/100
  • Submission time stamp
     . .
  • Reload
  • Should be Empty: