Germantown Visioning & Collective Action Assembly

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As of 10/17 12:00 noon, REGISTRATION IS NOW CLOSED!

Name (first and last) *

Email address *

Phone number

What is your experience level with Zoom? *

I've never used Zoom and could use some guidance

This will be my first time using Zoom but I feel confident I'll get it

I've used Zoom at least a few times and feel comfortable with it

I've hosted Zoom calls myself

Other:

We want to make it easy for parents of young children to participate fully. Could you use support during this event? We have a budget available to help with babysitting for example. What would be helpful to you?

During the event, we will spend much of the time in small breakout groups, each with a different topic. Which of the following resilience and abundance-related topic would you like to discuss most? Or you can add a new one and we will combine folks with similar interests. *

Food

Health and medicine

Caring for / raising / educating children

Community relationships / spiritual well-being

Build / fix / repair

Other:

Is there anything that may get in the way of you being able to attend? What can we do to help?

Would you mind if we record the event? It might be helpful to share some highlights or check back on it in case there are notes we missed.

No problem

No, I'm not comfortable being recorded

Other:

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Anything else you'd like us to know??

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