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PIERCE COUNTY LEGISLATIVE FORUM

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We look forward to seeing you on November 19th!

Timeline:

6:30 pm - Check-in and Information
7:00 pm - Welcome and Introductions
7:15 pm - Speaker Panel
8:00 pm - Conversations with Legislators at District Tables.

Registration & Volunteer Form

First Name

Last Name

I identify as a:

Organization (if applicable)

Email

Primary Phone

Home Phone

Mobile Phone

Work Phone

Legislative District

Based on your home address

Request for needed accommodations

Find my District

Registration

Are you attending the night of the event?

Yes, I will be there!Sorry I can't make it, but I would like to submit a written story to be shared with my legislator.

Please list if you have any special accommodations needed for you or someone attending with you:

Please select a legislative priority that relates to your story

Waiting for or do not receive paid services from Developmental Disabilities AdministrationIn a crisis, need help!Children age zero to five yrs oldChildren in Schools Adult ServicesBehavioral/ Mental Health EmploymentHousing Trained care staff Healthcare

What would you like to share with your legislator?

250 word limit

Volunteering

Not sure about which opportunity(ies) are right for you? Visit our website for our b asic volunteer information.

I am interested in the following opportunity(ies):

District VolunteerForum Day/Night Volunteer

Thank you!

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Home
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Calendar
Get Involved
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