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49th Ward Block by Block Registration Form
Sign up to join Alderwoman Hadden's block club program, Block by Block. You can sign up to find and join a block club, to create a new block club, or to register an existing block club!
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* Indicates required question
Email
*
Your email
What's your name?
*
Your answer
What are your pronouns? Check all that apply.
she/her
he/him
they/them
Other:
Where do you live? Please give your complete street address.
*
Your answer
What's your phone number?
Your answer
Is that phone number a landline or mobile phone?
*
Choose
Landline
Mobile
Which situation applies to you?
*
Choose
I want to join a block club
I want to start a new block club
I'm part of a block club already but want to register it
Do you require any accessibility accommodations for online/virtual meetings? ex: translation, captioning, etc If so, please tell us what you need.
Your answer
What types of block club activities are of interest to you? Check all that apply
Building contact lists of my neighbors
Facilitating meetings
Outreach to neighbors
Serving as a representative for my block to the Ward Office
Planning activities
Serve as interpreter
Other:
What ideas do you have to share or what concerns do you hope your block club can address?
Your answer
Send me a copy of my responses.
Submit
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