The People's Summit Commitment Form

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PLAN & PLAN Action are hosting a people's summit for volunteers and organizers across Nevada for two days full of workshops and opportunities to connect. We will provide amazing training, opportunities to connect, & yummy meals. *NNV participant sign ups have closed on October 1 - we can no longer provide travel accommodations to NNV participants not previously signed up*

Time commitment: Friday, October 13th - Sunday October 15th (more details below)

Please fill out this form to confirm your interest & availability!

** We will follow up with all submissions to confirm your reserved spot **

With any questions, please reach out to Cassie Charles at ccharles@planaction.org

First and Last Name *

Pronouns *

Birthday *

YYYY

Email *

Phone Number *

Address (Street, City, State, Zip code) *

I am vaccinated against Covid19 *Vaccination is required to attend* *

Yes

Required

Are you currently staff or a volunteer for a community organization/campaign? *

What community issues are you most passionate about? *

Which Summit Track will you participate in? *

Activists & Organizers: The fundamentals of Organizing

Candidates & Campaigners: Building the Progressive Pipeline

What skills or knowledge would you like to gain from the People's Summit? *

Time Commitment

The entire program will run from Friday, October 13th- Sunday, October 15th.

Friday: NNV guests arrive in Las Vegas, *optional* group Dinner and social hour for all guests in the evening.

Saturday: 9am-5pm, breakfast, lunch, and dinner provided! **Mandatory commitment**

Sunday: 9am-4pm, breakfast & lunch provided, & a community action! **Mandatory commitment**
NNV guests travel back home.

Time Commitment *

I can/want to attend the group social hour on Friday evening, October 13th

I commit to attending the full days of Summit programming on Sat & Sun, October 14-15th

Required

Have you met with a PLAN Staff member recently? If yes, please list their name. *

What covid precautions would make you feel comfortable and safe attending?

Food allergies or dietary restrictions? *

Any accessibility needs we should be aware of/ do you need Spanish language translation? *

Unisex T-Shirt Size *

2XL

3XL

Other:

PLAN will be providing childcare onsite for participants who may need it.

If you would like to bring children to the summit, please list their names and ages so that we may accommodate them.

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