Attendance Request Form – Survivor Speakout Victim Impact Panel – Hendricks County 4H Complex & Conference Center

This form is for OFFENDERS to request to attend Survivor Speakout Victim Impact Panel IN PERSON. Once the form has been submitted you will be directed to a page to pay your $42.00 fee with a debit or credit card securely through PayPal. You do not need a PayPal account to pay your fee. If you have problems submitting this form, please call 317.289.3242.

Please do not contact the fairgrounds about attending the Survivor Speakout Victim Impact PanelContact Survivor Speakout directly with questions. Enter the fairgrounds building through the main entrance.

Read the guidelines to attend in person

Your Personal Information

Request the date you would like to attend Survivor Speakout IN PERSON

On what charges were you arrested?

If you chose 'Other' above, please tell us what you were charged with

Your probation officer and date your probation ends

If your probation officer's name is not listed, enter their name here
If you are not sure of the exact date, choose the last day of the month your probation ends

Who is the judge presiding over your case?

If you know the name of your judge, but they are not on the list, enter it here

County information