RSVP: Barnstable Opioid Settlement Funds Community Workshop
Please help our design team prepare for the workshop on Tuesday, January 30 from 5:30-8:30 pm at the Barnstable High School Jr/Sr Cafeteria by letting us know a few things about your attendance. None of the questions below are required. If you'd like to sign up anonymously, please do. We would just like to have a headcount so that we can plan for seating, food, translation and childcare. Thank you in advance!
Sign in to Google to save your progress. Learn more
Name
Phone Number
Email Address
Will other folks be joining you?
Clear selection
If yes, approximately how many?
Do you have any food allergies?
Please let us know if any accommodations are needed (ie interpreter services, mobility needs, etc).
Will you be utilizing the offered childcare?
Clear selection
If yes, how many children and what are their ages?
Is there anything else you would like to add?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms