Adult Foster Care Awareness Day - 2020 Registration

Question Title

* 1. Registrant Information

Last Name *

First Name *

AFC Company Affiliations? *

Home Street Address *

Home City / Town *

State Province *

ZIP/ Postal Code *

County

Email *

Phone

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* 2. Who is your House Representative? Search through Locate My Legislator

Other (If a resident outside of Massachusetts -- use your work office address)

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* 3. Who is your State Senator? Search through Locate My Legislator

Other (If a resident outside of Massachusetts -- use your work office address)

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* 4. VOLUNTEER TO BE A TEAM LEADER?

WE NEED 40+ VOLUNTEERS that will be trained to lead a team around the State House and initiate meaningful connections with legislators about the importance of continued funding for our AFC programs for years to come.

Team Leaders will be offered education and support from our lobbyist group prior to the event via conference call.

Yes

No