Arlington 2024 Caucus Attendance and Consent to Nominate

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

First Name *

Last Name *

Middle Initial

Address (Voting) *

City/Town *

Precinct

Phone Number *

Delegate and Alternate Consent to Nominate

I hereby consent to nomination for ____________ for the 2024 Democratic State Convention (you can select both). *

DELEGATE

ALTERNATE

I am just attending as a guest and will not be voting today

I am just voting today and will not be running for delegate or alternate

Required

Gender *

Male

Female

Non-Binary

Are you a registered Democrat in Arlington? *

Yes

Unsure

Do you have any accessibility needs? *

Is there anything else that we need to know? *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report