Join Exposure! First & Last name *NicknameGender *Age *Birthdate *Race/ EthnicitySexual Identity/ OrientationMarital StatusHometownWhich are you interested inFriendshipRelationshipOpen to bothList any skills, trades or degrees you haveMusic Choice CategoryFavorite Tv show#1 Movie CategoryFavorite FoodsFavorite DessertA color that looks good on youFavorite Sports to play/ or watchA sports team you admireA Holiday that you enjoy the mostA season you enjoyWinterSpringFallSummerCar you have interest inCars you admirePet ChoiceWhat do you prefer your relationship to valueA word that best describes you as a wholeExample: leader, bold, unique, creative, ambitious etc..Where would you like to travel to or vacation atWhat are some of your hobbiesIf you were to write a book what would be the titleIf you received a large amount of money, how would you use itName a person you would like to meetWhat do you consider the most important on your bucket list?Do you have Email service at your facility/ please provideStay ConnectedWill you be adding Exposure to your email listWould you like to connect with us through email/ check only if interestedFacility Address *Inmate Number *Charges for incarceration *Incarcerated since *Released Date *Serving Life sentence *YesNoMembership Infomation *I have included my paymentI will send payment laterPayment have already been madeSomeone will make payment on my behalfProfiles will not be visible until payment is madeMembership$15 (6 Months)$25 (1 Year)Choose a planIncentive InformationPlace directly on books and send receiptContact you directly by mail or email, so that you may have the option to use for outside items thats approved by the facilityHow would you like to receive any money you may win in our programReferralWere you referred by an inmate? Please list inmate first& last name and inmate numberWould you like a shout out on your birthdayYes only on Exposure websiteYes only on Social Media platformsYes shout me out on BothNo, I'm not interested in a shout outWould you like a cover photo/ Cannot include any peopleSunsetMountainWaterfallNature SceneryMusic InstrumentsWildernessPaintingsSolid colorsBrick wallSkySpaceLandscapeBeachsideFoodAnimalCity view bright lightsForestCar, TruckIf you chose to have a solid background/ please enter a colorTagline (A Quote you use often)Person name filling out FormConsent *Yes, I agree with the privacy policy and terms and conditions.Photo UploadDrag and Drop (or) Choose FilesForm SectionSend MessageSave as DraftPlease do not fill in this field.