1. Registration Form

Thank you for your interest in participating in MAY DAY 2014 - LEA Moon Meeting + March alongside CLRJ!

Moon Meeting
Tuesday, April 29th 2014
6PM - 8PM
Los Angeles, CA

May Day March
Thursday, May 1st 2014
10AM - 2PM
Downtown Los Angeles, CA

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* 1. First Name:

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* 2. Last Name:

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* 3. Date of Birth (helps to know)

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* 4. Please share the best number to reach you for program related activities.
Stay connected for future opportunities. Please provide your most current/permanent
(Exact room location, parking and other instructions will come to this address)

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* 5. Is it ok to text you (with selective) advocacy related activities/in your area?

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* 6. Please provide your current/permanent mailing address, incluing zip code.
(for legislative visits and related activities)

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* 7. Have you attended any LEA (Latinas Empowered for Action)
events in the past?

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* 8. What LEA trainings or activities have you attended?

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* 9. Are you on the 2014 LEA Advisory Board?

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* 10. How did you hear about this event?

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* 11. Will you be able to attend both our Moon Meeting and the March?

 

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