Queens Aging Advocacy Day Registration
Thank you for your interest in participating in LiveOn NY's 1st ever Queens Aging Advocacy Day hosted by Borough President Donovan Richards! 

Bring signs and ready your voices to call for the needed funding for city services for older adults! We will be joined by providers throughout Queens to stand with Borough President Richards to call for our fair share of funding and reverse the proposed cuts in this year's budget! 

When: Thursday, March 7th, 10:30-11:30am

Where: Helen Marshall Cultural Center in Queens Borough Hall (120-55 Queens Blvd, Queens, NY 11415)

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Organization Name
Day-of Point of Contact for your Organization
Point of Contact Cell Phone Number *
Point of Contact Email Address *
Number of Participants (Staff and Older Adult) from your organization *
Older Adult Spotlight 
We will be working to include 4-5 older adults and staff members to highlight during the event with stories of their experiences with programs funded through the city. Please fill out this section if you have members who would be interested in and have experience participating in advocacy events. We are looking for someone who would be comfortable speaking for 2-3 minutes on the importance of these services in their lives. Due to time constraints we will not be able to spotlight everyone, however we would still love to collect their stories for use in future advocacy. 

We will let you know a few days in advance of the event if we have space to include your speaker on the program. 
Do you have an older adult that would like to speak out at this event?  *
If yes, can you provide their name and the topic they would like to speak on?
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