WaCASA Advocacy Day 2019 Registration Form
St. John's Episcopal Church 114 20th Ave SE, Olympia, WA 9:30 - 4:00 PM
First Name
Your answer
Last Name
Your answer
Email
Your answer
Phone Number
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Your Local CASA Program
Your answer
Your Legislative District
Not sure? Visit http://app.leg.wa.gov/DistrictFinder/ to find your district!
Your answer
Can we count on you to bring a pair (or more!) of shoes for our Shoe Drive?
Shoes will be on display at the Capitol to visually display the number of children in care then donated to foster children.
Have you made appointments with your legislators?
Please schedule appointments after 1:30 PM if at all possible.
Or, would you like us to make your appointments for you?
(we'll do our best to schedule all appointments between 1:30 and 4:00...and we may need to follow up with you depending on legislator's schedules)
If you have, please let us know the legislator's names and times of your appointments below:
Your answer
Anything else you'd like us to know?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Washington State CASA. Report Abuse - Terms of Service