Grassroots Action for the Environment - Participant Registration - 2019
Friends, we're asking for a lot of information from you below. Please know that you don't have participate in all of these activities. We don't want to overwhelm you. You are welcome to click every box, but you don't have to.
Name *
Your answer
Email *
Your answer
Phone *
Your answer
It's ok to text me.
Mailing Address
Your answer
City *
Your answer
Zip Code *
Your answer
Who is your State Senator? *
Click here to find your State Senator - (https://openstates.org/find_your_legislator/)
Your answer
Who is your State Representative? *
Click here to find your State Rep - (https://openstates.org/find_your_legislator/)
Your answer
I will commit to contacting my legislator through e-mail, phone call, or letter to introduce myself and our issues ,
We will provide you with template letters.
I will commit to joining a team visiting the state legislators in my city before and after the legislative session.
We will supply you with talking points about the issues.
I will commit to serving as grassroots team delegate from my city to travel to the Roundhouse during the session.
Travel scholarships are available.
I'd like to participate in a local, environmental grassroots lobby trainings in
I'd like to participate in the Clean Energy Conference
Monday, January 28th, 2pm - 9pm - Temple Beth Shalom, Santa Fe. Conference Fee - $15 all day, $5 students, $10 for evening speakers only. Click here to make your payment - https://bit.ly/2Ee6W8t
I'd like to participate in Clean Energy Lobby Day
Tuesday, January 29th, 8am - 3:30pm, New Mexico State Legislature (no fee)
I'd like to participate in Lands, Water and Wildlife Lobby Day
Wednesday, February 13th, 8am - 3:30pm, New Mexico State Legislature (no fee)
I'd like to participate in Bring it Home for the Environment Lobby Day
Week of March 5th, Details TBA, New Mexico State Legislature (no fee)
What legislative areas are you most interested in?
I'd like to reserve a hotel room where we have a block held.
Rooms are $68.11 per night at Garrett's Desert Inn (includes taxes). Availability is limited.
In order to participate, I need a travel and hotel scholarship.
Availability is first come, first serve.
I would like to carpool and have a car I can drive.
I would like to carpool but need a ride.
List any dietary restrictions you have.
Your answer
List any language needs such as Spanish or ASL interpretation you have.
Your answer
List any special needs such as wheelchair access.
Your answer
Will you need childcare? If so, how many kids and what ages?
Your answer
I am willing to volunteer.
Click here for more information - https://goo.gl/forms/PyF9mMVlyp1HHcam2. We'll assign you volunteer opportunities for the events you sign up for.
Are there any particular strengths, qualifications or elected officials that you bring to your grassroots advocacy?
Nothing special needed here. Being interested it absolutely enough. But if you have some special qualification that would be great. Also let us know if you have a personal relationship with a legislator.
Your answer
What organizations are you affiliated with?
Click on as many organizations you are a member of, active with or generally feel affiliates with.
I would like to make a donation to support scholarships for this event.
Click here to make your donation to the scholarship fund - https://bit.ly/2Ee6W8t
I made my payment for the Clean Energy Conference.
You can make your payment here - https://bit.ly/2Ee6W8t
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