Registration Michigan PTA Advocacy Seminar March 20, 2021 Question Title * 1. Full Name of person participating OK Question Title * 2. Name of PTA Unit and City you are connected with for 2020-21. List NA if not connected to a PTA Local Unit this year. OK Question Title * 3. To identify your legislative District we need your home mailing address. This information will not be shared or distributed with any outside parties and will be kept confidential and private. Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 4. There will be legislative calls with local State Representatives and State Senators on March 24, 2021. Do you wish to participate on those video chat conference calls? Yes No Maybe depends on time of day and my schedule closer to the date OK Question Title * 5. Select Time of Day you are available for live video conference call on Wednesday, March 24, 2021. Please select all that you are open on that day. Morning 8:00am to 11:30am Lunch 11:30am to 1:30pm Afternoon 1:30pm to 4:30pm Evening 6:00pm to 8:00pm Other time or comment (please specify) None of the above OK Question Title * 6. We are looking for volunteers to organize their political district for the video conference call on Wednesday, March 24, 2021. Please let us know if you would be interested in volunteering. Training will be provided. A computer with internet access is required. Yes would like to volunteer No Maybe, please contact me directly OK DONE