Maple Valley | 2pm Tuesday, November 4

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Join Victoria Hunt and Liz Karkoski-Gardner in Maple Valley at 2pm on Tuesday, November 4th (address provided upon registration) to talk to voters in Legislative District 5 and launch Victoria across the finish line.

Email *

First Name *

Last Name *

Phone Number *

Pick One *

1. This is my first time canvassing.

2. I've canvassed before, but it's been more than two years since I've canvassed.

3. I'm an experienced canvasser and have gone recently.

Pick One *

1. I would like to be a silent canvasser and paired with an experienced canvasser.

2. I'm experienced and would like to be paired with a silent canvasser.

3. I already have a buddy - they will sign-up separately, but I will write their name in the "other box" below

Other:

Required

I commit to attend the canvass on Tuesday, November 4 at 2pm in Maple Valley (address provided upon registration) *

Yes

Maybe

Other:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Victoria Hunt.

Does this form look suspicious? Report

Forms