District Day Sign Up Form
Please fill out this form so we can properly gauge what our office needs to prepare for for these upcoming tours! Please note each activity is scheduled from 10am through 1pm.
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Email *
This a 19th Legislative District event. Please select your ZIP Code. *
Does April 18th, 2023 work for you? Please keep in mind, we have 7 spots remaining. *
How many children ages 5-18 will be attending in your group? *
What are the ages of each student attending? *
How many accompanying adults will be in your group? *
What is the first name of the primary point of contact? *
What is the last name of the primary point of contact? *
What is their address? *
What is their email address? *
What is their phone number? *
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