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Afterschool & Summer Day at the Capitol 2017 Participation Form
Let us know if you are interested in participating in this years Day at the Capitol. We will have opportunities for you to join us as a Table Host, Student Performance or Legislative Visit. Please fill out the information below and we will be in contact to make further arrangements. Thank you for joining us as advocates for afterschool, summer and the youth and families that rely on them!
What organization or program do you work with?
Home or Work Address
To help us know which legislators you match up with. Must include street, city, and zip.
How would you like to participate during the day?
Host a table to display an activity or highlight from your program
Bring youth to meet with legislators
Bring youth to do a performance (robotics, music, etc)
Meet with legislators to share my story of the importance of afterschool & summer learning
Would you like to meet with your representative, senator, or both?
What are the most convenient appointment times for you? We will attempt to schedule you during these times, however we will have to work with Legislators schedules. (You may select more than one time)
9:00 am - 10:00 am
10:00 am - 11:00 am
11:00 am - 12:00 pm
12:00 pm - 1:00 pm
1:00 pm - 2:00 pm
I am availably any time from 9:00 am - 2:00 pm
What would you like to speak to your legislator about? (You may select more than one)
Health and Wellness
Quality Afterschool and Summer Programming
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