"Cue the Confetti"Celebration and Send Off for Special Guest Abby Finkenauer hosted by The First District Democrats
TIME: 11:30 am - 2:30 pm Sunday, December 9th
LOCATION: Veterans Memorial Coliseum
50 2nd Ave Bridge
Cedar Rapids, 52401

Accessible Parking on 2nd Ave Bridge
Additional Parking is located on street and in numerous municipal lots and ramps within 1 to 3 blocks of the Veterans Memorial Coliseum.

This form is for pre-registration, afternoon dinner and opportunities to support our efforts and this event.

Pre-Registration Information: Please complete this form no later than noon, Thursday, December 6th 2018. If mailing a check, your payment will need to be received no later than Thursday, December 6th 2018.

If you need to print out a pre-registration form, click here to download the form. Print it and mail it with your check to: First District Democrats, 810 Baltimore St., Waterloo, IA 50702.

YOUR RESERVATION IS NOT SECURE UNTIL PAYMENT IS RECEIVED.


ACCOMMODATION INFORMATION: The same deadline applies to any Requests for Accommodation. We will have:

CART
ASL
High Table Risers
Large Print Programs
Service Animal Relief Area
Designated Quiet/Lactation Room

If you need assistance with registration please contact Karen Black, Chair of the First District Disability Caucus at: karensueblack@icloud.com.

After December 6th, online registration will no longer be available and you will need to register onsite. While we will have some extra meals, they will be subject to availability.

Doors will open at 11:30 a.m. Those who pre-register will receive a $5.00 discount.

Email address *
First Name *
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Last Name *
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County *
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Street Address *
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City *
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Zip Code *
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Email Address *
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Home Phone
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Cell Phone
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I am an elected official (Please specify)
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Meal Option (Please select one) *
Pre-registration Fee (Please select one) *
Scholarship Opportunities for Giving and Receiving
(Scholarship availability will be based upon the amount donated to the fund.)
If you wish to receive a scholarship: Scholarship amount needed:
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If you wish to donate to the scholarship fund: Donation amount:
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Support and Sponsorship Opportunities
I would like to be a:
If you selected one of the levels of support above, please indicate the name or names as you wish them to appear in the program.
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I would like to purchase a County Democratic Party or volunteer-based non-profit ad in the program booklet (please contact Catherine Crist for Ad layout and specifications questions or email your ad as an attachment in a PDF format to chair@idp1st.org). Deadline is Tuesday December 4th, 2018.
Accomodations
Accommodations (Please select None or indicate which of these you may need, select all that apply)
Description of Accommodation Requests (Please describe above request as necessary)
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Paid for and hosted by the First District Democrats
www.IDP1st.org
Not authorized by any candidate or candidate's committee. Federal law requires us to use our best efforts to report the name, mailing address, occupation, and name of employer of individuals who contribute more than $200 in a calendar year.
Payment Options (Please select one) Your dinner reservation is not secure until payment is received. *
A copy of your responses will be emailed to the address you provided.
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