Water Justice Lobby Day 1/31 Registration
Please complete this form to register for our January 31st Lobby Day, hosted by People's Water Board Coalition, and give us some information about your participation. We will be meeting with members of the Local Government Committee to discuss House Bills 4393 (Shut-off Protections) and 4389/4390 (Decriminalization of Reconnecting Water Service). *The deadline to register is Sunday, January 28th.* For more information about the Lobby Day, contact Eleanor at 248.990.8049 or
Address where you are registered to vote:
Who is your representative in the Michigan House of Representatives?
Can you be present for our Lobby Day, 8:30am - 4:30pm, January 31st?
Are you a member of People's Water Board?
I don't know
Do you represent any organizations, congregations, or community groups? List here.
Please tell us about your transportation needs:
I can drive to Lansing.
I will need a ride to Lansing.
If you can drive to Lansing, do you have additional seats available for a carpool from your location?
Would you like to arrange overnight accommodations in Lansing the night of the 30th?
Yes and I can find my own accommodations.
Yes and I would like assistance finding a place to stay.
No, I will arrive on the morning of the 31st.
Are you willing to volunteer behind the scenes on Lobby Day? (set up, clean up, hand out materials, direct people to where they need to go)
We are asking all attendees to participate on a required orientation conference call Thursday January 25th, 6-7pm. Can you attend?
Yes, I will be on the call
No (but I can commit to a phone orientation at another time).
Do you have any accessibility needs?
Do you have any dietary restrictions?
Questions or anything else you want to tell us?
Send me a copy of my responses.
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