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.
Email address *
Name of Group, School, or Organization *
Organizations’ Address *
Mission/Purpose of Organization
Contact’s Full Name *
Contact’s Title/Role
Contact’s Phone Number *
Contact’s Email Address *
Estimated Number of Participants *
Month of Choice *
Please Provide Brief Statement Regarding Group or Organization or List Any Special Accolades or Awards for Introduction *
Name of Council Representative Referred By
Have you led the Pledge of Allegiance at ATC Meeting? (If so, please list date) *
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