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!
Name
Your answer
What organization or program do you work with?
Your answer
Email
Your answer
Phone Number
Your answer
Home or Work Address
To help us know which legislators you match up with. Must include street, city, and zip.
Your answer
How would you like to participate during the day?
Please select all that apply
Required
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)
Required
Are there specific topics that you would like to speak to your legislator about?
Please select all that apply
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