4th Annual Mamas' Summit
This year's theme is "Policies for us, by us, with us!" The day will involve issue education, networking, organizing and empowerment. We want mamas in Michigan to recognize their place in the "Year of the Woman." Please complete this form to claim your seat, food, free transportation and child care if needed. #ForUsWithUs

Where: UAW Local 653 Hall, 670 E. Walton BLVD. Pontiac, MI 48340
Time: 9:00 am to 3:00 pm
Date: Saturday, August 18th
Guests: Mama Shu of Avalon Village, Representatives Stephanie Chang and Tenisha Yancey, plus many more!

Email address *
Name *
Your answer
Address *
Your answer
City, State and Zip *
Your answer
Phone Number (no dashes or spaces) *
Your answer
Do you have any food allergies? If yes, please list the allergy.
Your answer
Are you in need of transportation to the Summit? (If yes, please indicate from which area)
Please indicate the ONE breakout session you're most interested in. *
Please indicate the ONE skill-building workshop you're most interested in. *
*Our babysitting services are booked for the summit. Feel free to bring your child(ren) and keep them with you while you attend the event.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Mothering Justice. Report Abuse - Terms of Service