Pledge of Allegiance Volunteer Form
Please fill out this form to volunteer to lead the Pledge of Allegiance at an upcoming Altadena Town Council meeting. The Altadena Town Council meets on the third Tuesday of each month at 7:00 p.m. in the Altadena Community Center located at 730 E. Altadena Drive.
* Required
Email address
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Your email
Name of Group, School, or Organization
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Your answer
Organizations’ Address
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Your answer
Mission/Purpose of Organization
Your answer
Contact’s Full Name
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Your answer
Contact’s Title/Role
Your answer
Contact’s Phone Number
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Your answer
Contact’s Email Address
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Your answer
Estimated Number of Participants
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Your answer
Month of Choice
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February 2020
March 2020
April 2020
May 2020
June 2020
Option 6
Other:
Please Provide Brief Statement Regarding Group or Organization or List Any Special Accolades or Awards for Introduction
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Your answer
Name of Council Representative Referred By
Your answer
Have you led the Pledge of Allegiance at ATC Meeting? (If so, please list date)
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Your answer
Send me a copy of my responses.
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