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First Name

Last Name

Telephone

Email

Organization (if applicable)

Do you need childcare?

Yes

No

Will you attend this meeting in-person or online through Zoom?

In-Person

Online (Zoom)

Do you need an interpreter for a language other than English?

Yes

No

If yes, which language do you need an interpreter for?

American Sign Language

Spanish

Hmong/HMoob

Other

We strive to host inclusive, accessible events that enable all individuals, including individuals with disabilities, to engage fully. Do you need accommodations or have inquiries about accessibility?

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