Fair Wisconsin LGBTQ+ Equality Day at the Capitol 2023 Pre-registration Form

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We are using this form to gauge interest in attending LGBTQ+ Equality Day and to determine if there are ways we can try to make this free event more accessible to community members from around the state.

Email *

Name *

What city / town / village do you live in? *

What is your age?

If we could provide round-trip bus transportation for free, would you be interested in this option? (Don't worry, you can always change your mind later! We're just trying to gauge interest.)

Yes, definitely

Probably, but not sure

Probably not

Definitely not

Clear selection

If we didn't have round trip bus transportation for your area, would the distance be a barrier for you, due to travel time, cost of gas, or other reasons? Please indicate all barriers that may apply to your situation. It's ok if this information changes, we are just trying to gauge community needs and interest.

Cost of gas

The travel time means I would probably have to stay over night in Madison, and I can't afford that, or don't have enough time for that

I don't have my own transportation (unable to drive, etc.)

I can't get time off work for a weekday event

Other:

If there was a partially virtual option, would you be interested? (For example, a zoom option for training sessions, or for scheduled meetings with legislators?)

Yes, definitely

Probably, but not sure

Probably not

Definitely not

Clear selection

Is there anything else you would like to share with us?

A copy of your responses will be emailed to the address you provided.

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