Grassroots Action for the Environment - Participant Registration - 2020
Fill out the form below to let us know how you'd like to be involved in protecting the environment at the Legislature.
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Name *
Email *
Phone *
It's ok to text me.
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Mailing Address
City *
Zip Code *
Who is your State Senator? *
Click here to find your State Senator - (https://openstates.org/find_your_legislator/)
Who is your State Representative? *
Click here to find your State Rep - (https://openstates.org/find_your_legislator/)
I'd like to participate in Environment Day at the Round House on January the 28th
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What legislative areas are you most interested in?
I'd like to reserve a hotel room
We'll contact you to provide further information
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In order to participate, I need a travel and hotel scholarship.
Availability is first come, first serve.
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I would like to carpool and have a car I can drive.
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I would like to carpool but need a ride.
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List any language needs such as Spanish or ASL interpretation you have.
List any special needs such as wheelchair access.
Will you need childcare? If so, how many kids and what ages?
I am willing to volunteer.
We'll assign you volunteer opportunities for the events you sign up for.
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Are there any particular strengths, qualifications or relationships with elected officials that you bring to your grassroots advocacy?
Nothing special needed here.  Being interested it absolutely enough.  But if you have some special qualification that would be great. Also let us know if you have a personal relationship with a legislator.
What organizations are you affiliated with?
List as many organizations you are a member of, active with or generally feel affiliates with.
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