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Clearance Form

PDF Visitor Clearance Form

    -  Please print it out.  Fill it out in dark ink.  Scan and email it to Cornerstone or send the originals by mail to the address below.    

You MUST fill it out completely, legibly, and sign it.

-Please mark the "Volunteer" option.



Cornerstone email


Cornerstone Prison Church

PO Box 88708

Sioux Falls, SD 57109


Other questions may answered at by the DOC website:

South Dakota Department of Corrections Website