Transition Town Hall 2019 Registration Question Title * 1. Name: Question Title * 2. E-mail: Question Title * 3. Phone Number: Question Title * 4. Mailing Address: Question Title * 5. How many will attend from your group? Question Title * 6. Do you need any accomodations to participate? Question Title * 7. How did you hear about the event? Question Title * 8. Demographic InformationProviding this information is optional. It helps us have a better understanding of our audiences. Race: White refers to people having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American refers to people having origins in any of the Black racial groups of Africa. Asian refers to people having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent (e.g. Asian Indian). Native Hawaiian or Other Pacific Islander refers to people having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. More than one race includes individuals who identify with two or more racial designations. Unrecorded is included for individuals who are unable to identify with the categories American Indian or Alaskan Native refers to people having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Tribe: Question Title * 9. Ethnicity: (Hispanic is an ethnic category for people whose origins are in the Spanish-speaking countries of Latin America or who identify with a Spanish-speaking culture. Individuals who are Hispanic may be of any race.) Hispanic Non-Hispanic Unrecorded Question Title * 10. Primary Language Do you speak a language other than English at home? Yes, Spanish No Yes, another language, please identify: Done