2018 Linn County Convention Registration
The Linn County Democrats proudly present an ADA compliant and functionally accessible Convention on Saturday, March 24, 2018.

Kirkwood Linn County Regional Center
North Entrance
1770 Boyson Road
Hiawatha, Iowa 52233

Registration begins at 8:00 AM
Convention Called to Order at 9:00 AM

To help us plan for a smooth running Convention, please complete this Registration form as soon as possible and no later than March 20, 2018. After March 20th, online registrations will no longer be accepted and you will need to register onsite at the Convention beginning at 8:00 AM (lunch without pre-order will be limited availibity). Please note that accommodation requests should be submitted before March 18th to allow adequate time to make arrangements. We will make every attempt to fulfill requests received after March 18th.

If you need assistance with registration, please email Karen Black at karensueblack@icloud.com.

Email address *
Contact Information
First Name *
Your answer
Last Name *
Your answer
Precinct Name
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Cell Phone Number
Your answer
Fees
The Delegate fee is not mandatory and the Iowa Democratic Party Constitution states: “No Delegate’s right to fully participate or vote in any convention shall be dependent on the payment of a Delegate fee.” The cost of lunch is not a part of the Delegate Fee.
Delegates - Select One:
Others - Select One:
Live Stream Package includes Convention Booklet and broadcast livestream in the Alternates Seating Area (also includes lunch order). Candidates will come speak with you and observe Platform Committee deliberations.
Select One: *
Delegate Scholarship Fund
Donations will be applied towards the overall cost of the Convention
Donation Amount
Lunch Options
Sandwiches include: potato/pasta salad, fruit cup, chips, and cookie.
Salads include: fruit cup, dinner roll, and cookie.
Select one: *
Dietary Requirements *
Accessibility Accommodations
Check that all apply.
Please select the accommodations you may need during the Convention:
Description of Accommodation Requests
Your answer
A copy of your responses will be emailed to the address you provided.
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