JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inaugural Action Hours! RSVP Here!
We can't wait to see you at a Friday Action Hour (or two) in February! These events take place on Zoom. We will send you the link on the day of the event.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Which Action Hour(s) will you attend?
*
Friday, February 20 4PM: Equality CT and Reproductive Equity Now
Friday, February 27 4PM: Immigration Support
Other:
Required
Your Name
*
Your answer
Your Congregation (no abbreviations please)
*
Your answer
Your Town of Residence
*
Your answer helps us know where we have representation across the state when we take legislative action, and where there are gaps.
Your answer
Your Email
*
Your answer
Your Phone
*
Your answer
Your Address (for February 20th only)
If you are attending on February 20th, please include your address so we can send you some postcards.
Your answer
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
Forms
Help and feedback
Contact form owner
Help Forms improve
Report