Maryland PPC Event Sign-Up Form

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Please use this form to sign-up to help at any in-person Maryland PPC event.
If you are bringing anyone with you, please complete a separate entry for each person.

Thank you,

Maryland PPC State Coordinating Committee

(This form is mutable depending upon current applicable events. If you have completed this form for a past event, you need to complete it again for any current event.)

Email *

First Name *

Please enter your first name. You may optionally include a middle initial or middle name. Please do not enter any titles/salutations.

Last Name *

Please enter your last name. You may optionally include any applicable suffix, such as Jr., Sr., III, or Esq.

Phone Number *

Please list the best phone number where we can reach you, with no punctuation.

Zip Code *

Please list only a 5-digit zip code (do not list extended zips).

Region *

Please select the region where you live. If you are unsure, refer to the graphic.

Upcoming Events

The following MD PPC events are currently scheduled for all areas of Maryland.
Check back regularly for updates.

Outreach Weekend (Sept 23-24, 2023)

ALL ACTIONS CANCELED DUE TO THE STORM AND FLOOD/HIGH WINDS WARNINGS

Event *

Please select one or more events for which you'd like to volunteer. If events overlap, please only select one in that timeslot.

N/A

Required

Comments

Please enter any other relevant information in this space, such as an answer to something specifically requested in an advertised action/event.

Send me a copy of my responses.

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