Registration for World Water Day in Lansing 💧 Tues. March 24, 2020 -- for SE MI residents

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Please use this form to register for World Water Day, TUESDAY MARCH 24TH, in Lansing. This form is for SOUTHEASTERN MICHIGAN RESIDENTS ONLY!! We are reserving a wheelchair accessible coach. The bus will leave Detroit at 7:30am. Registrants will be notified of the departure location in early March. Each adult will be asked to contribute $5.

First Name *

Last Name *

Cell Phone Number *

City you live in *

Organization you are with, if applicable

Are you riding the Detroit bus or driving? *

I will ride the bus and arrive by 7:15am

I will carpool to and from Lansing and can offer rides from my city above

I will not need transportation assistance

Are you a person with limited mobility and/or in need of assistance to board the bus? (check all that apply)

No, I can manage on my own.

Yes, I will require use of the bus lift.

Yes, I can walk but will need assistance getting onto the bus.

Yes, I will need to store a folding wheelchair or walker underneath the bus.

Please add any other accessibility needs

Are you bringing any children/youth? (Note: There will be a special children/youth-led skit 👫)

Yes, write how many in "other"

Maybe

Other:

Is there anything else we need to know?

Thank you for registering! You will be contacted by bus coordinators before mid-March.

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