Partnership for Safety & Justice Lobby Day
Thursday, February 27, 2020
Micah Building, 680 State St, Salem, OR
Home Address including city (where you receive your ballot)
Cell phone to reach you on Lobby Day
Organization name, if you'd like it printed on your nametag:
How would you like your personal pronouns to appear on your nametag?
Learn more about why we're asking at
"Ask me about my pronouns"
Do not include personal pronouns on my nametag
Is this your first Lobby Day with Partnership for Safety and Justice?
We plan to provide lunch and snacks throughout the day. What are your dietary restrictions?
All the buildings and rooms are wheelchair accessible, and our speakers will use microphones to improve the audio quality. How can we further make the day accessible to you? (e.g. wheelchair to get to and around the capitol)
A photographer will be present to document the day.
I would like to opt out of photographs.
Would you be interested in learning more about being a Lobby Day Team Lead?
Team leads help prepare advocacy groups to visit their lawmakers and facilitate those meetings.
Would you be interested in learning about Lobby Day volunteer opportunities?
We are seeking volunteers to help with preparation and for various needs on Lobby Day itself.
Yes, I am interested in volunteering to prepare for Lobby Day
Yes, I am interested in volunteering on Lobby Day
Are you interested in carpooling to Lobby Day?
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service