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Pierce County Legislative Forum 2021- Registration

Welcome!

Please complete this form to sign up for the
2021 Virtual Pierce County Legislative Forum

November 16, 2021 ~ 6:30 - 8:30pm

Agenda for the virtual event:

Welcome/ Gathering
Tracy Vandewall Leadership Award
Legislator Introductions
Speaker Panel
Break/ Intermission
Connect with your legislator (Break out in to rooms by district)

Please register using the same e-mail you are going to use to attend the event November 16th. This is needed so we make sure you are connected with the Legislator from your district!

First Name

Last Name

I am attending this event as a(n)

Organization Name

Confirm Email

Type of phone

Home Phone

Mobile Phone

Work Phone

My primary language is

We ask this to better serve you in your preferred language, as possible.

How many people will be watching with you?

Legislative District (District number assigns you to the zoom conversation room with legislators)

Find my District

Any accommodation requests/needs or information to share?
Must be submitted by Friday November 10th.

Contact Information

Questions? contact Pierceforum@wapave.org

Pierce County Legislative Forum 2021- Registration

Welcome! Please complete this form to sign up for the 2021 Virtual Pierce County Legislative ForumNovember 16, 2021 ~ 6:30 - 8:30pm

Welcome!

Please complete this form to sign up for the
2021 Virtual Pierce County Legislative Forum

November 16, 2021 ~ 6:30 - 8:30pm