Registrant Information

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* 1. Contact Information

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* 2. What best describes your participation in this event?

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* 3. If you are a parent, how old is your child with a disability?

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* 4. What is their primary disability?

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* 5. How do you plan on attending Day at the Capitol?

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* 6. Please choose one of the following options for scheduling legislative visits:

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* 7. Scheduling with legislators can be challenging due to frequent changes with their schedules.  How late on March 7 would you be available to attend a meeting?

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* 8. Are there any times during the day on March 7 when you are not available?

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* 9. Is there any other information we should know to assist you to meet with your legislator?

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* 10. Would you be interested in participating in a PACER Parent Public Policy and Legislation Committee?

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* 11. Are you interested in being trained to be a PACER Parent Leader?

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