Partnership for Safety & Justice Lobby Day
Thursday, February 27, 2020
Micah Building, 680 State St, Salem, OR
Email address *
First Name *
Your answer
Last Name *
Your answer
Home Address including city (where you receive your ballot) *
Your answer
Cell phone to reach you on Lobby Day
Your answer
Organization name, if you'd like it printed on your nametag:
Your answer
How would you like your personal pronouns to appear on your nametag?
Learn more about why we're asking at
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?
Your answer
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)
Your answer
A photographer will be present to document the day.
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.
Are you interested in carpooling to Lobby Day?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy