Virtual Storytelling Event Registration Form
Welcome! Thank you for your interest in our upcoming storytelling event, where we will have a panel of storytellers discussing the positive impacts made from the Sugar-Sweetened Beverage Tax of Seattle. Before we begin this registration, we must recognize the importance of the time, efforts and hard work this community has achieved together to make this tax successful.
Throughout the implementation process in 2018, members of the city council, local stakeholders and community organizers worked through three phases to establish this project; the foundational phase, information gathering, and prioritization process. From formulating agreements on budgeting, data collection of health disparities, and networking with community members, the values behind this movement and process of decision-making are based off this vision statement from the Community Advisory Board:
"A connected community where healthy food and clean water are accessible to all, creating collective wellbeing and happiness and lifting the burden of disease and stress".
The Community Advisory Board was created to overlook the implementation of this tax and conduct further community outreach to combat the battle against health inequities amongst the most disproportionately affected communities in Seattle. Their dedication has immensely contributed to the ongoing fight against non-communicable disease rates among all residents of Seattle - including our working class citizens, our low-income communities and our most disproportionately affected communities from sugar-sweetened beverages.
Please fill out this registration form and demographic questionnaire. We'd love to understand who we will expect to see as part of our audience, we are excited to see you on July 15th!
Please state your first & last name.
If you represent or are affiliated with an organization, please list below.
Why are you interested and/or what do you hope to learn from this event?
Learn more about organizing behind sbt
Interest in how to fund health equity programs
Interest in coalition building & holding elected officials accountable
What is your current city or county location? (optional)
Please specify your ethnicity (optional)
Latino or Hispanic
Native Hawaiian or Pacific Islander
Prefer not to say
What gender do you identify as? (optional)
Prefer not to answer
Which of the following categories best describes your employment status? (optional)
Employed, working 1-39 hours per week
Employed, working 40 or more hours per week
Not employed, looking for work
Not employed, NOT looking for work
Disabled, not able to work
A copy of your responses will be emailed to the address you provided.
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