2022 State Convention Interest Form
Be a Vaccine Choice Delegate at the State Conventions this election season!
Sign in to Google to save your progress. Learn more
Full Name *
Full Address *
Your full address is needed so we can look up your specific convention details.
What is your county? *
Best Email *
Best Phone Number *
Are you registered to vote? *
Reminder- you can only attend the convention of the party you choose when you vote in the Primary Election.
Are you interested in carrying vaccine choice resolutions? *
Are you interested in attending the Republican Party of Texas State Convention in Houston on June 16-18? *
Reminder- you can only attend the convention of the party you choose when you vote in the Primary Election.
Are you interested in attending the Texas Democrats State Convention in Dallas on July 14-17? *
Reminder- you can only attend the convention of the party you choose when you vote in the Primary Election.
If you attend a state convention, would you like to receive email/text alerts with vaccine choice-related convention updates? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Texans for Vaccine Choice. Report Abuse