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Put People First! PA 10th Annual Membership Assembly 2022
How many people are you registering?
Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue".
Member Assembly Registration Info
Phone-Mobile (From the Web)
- select State/Province -
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
District of Columbia
Northern Mariana Islands
United States Minor Outlying Islands
Make a donation to help cover the cost of our 10th Annual Membership Assembly.
Help cover the cost of materials
- $ 10.00
Help cover the cost of tech tools
- $ 25.00
Help cover the cost of transportation
- $ 50.00
Help cover the cost of childcare
- $ 75.00
Cover the cost of lodging and meals for one participant
- $ 100.00
Cover the cost of all of the above for the weekend for one participant
- $ 125.00
I cannot donate at this time.
- $ 0.00
Total for this participant
Membership Assembly 2022 Updated
What Healthcare Rights Committee or Partner Organization are you a member of?
This is the primary way to participate in the Membership Assembly. We strongly encourage all members who are physically able to, to attend a regional gathering in person.
Are you able to attend Oct 7th and 8th in-person at a Regional Membership Assembly?
- select Are you able to attend Oct 7th and 8th in-person at a Regional Membership Assembly? -
Yes, I am able to attend both Friday and Saturday in-person.
I can only attend Saturday in-person
No, I am unable to attend the Membership Assembly in-person.
Do you need Transportation to the Regional Membership Assembly?
I will transport myself to the Regional Membership Assembly
I will need a ride from another member
I can offer a ride to another member (or more)
I am not attending in person
Regional Membership Assemblies will also include housing for Friday night, October 7th. Would you like housing for Friday overnight?
If you need childcare to participate in the regional Membership Assembly, please provide the names and ages of the children
If attending in-person, do you need childcare?
(i.e. Allergies, gluten-free, vegan, no pork, etc.)
If attending in-person, please share any Dietary Restrictions.
All in-person participants are required to be vaccinated. PPF-PA will provide at home tests for in-person participants to test Friday morning, October 7th before leaving for the regional assembly as well as Saturday and Sunday morning. Additionally, we are requiring all participants to be masked at all in-person events, except when eating, sleeping or when socially-distanced outside. More instructions to come. If you have any questions or concerns about this policy, please contact Jacob Hope at firstname.lastname@example.org.
If attending in-person, do you agree to abide by the Covid Safety Protocols leading up to and during the Membership Assembly?
Do you have any COVID protocol related questions that you would like some to reach out to you about?
This is a night to share our creativity and culture through a reading, song, movement, or visual art. Everyone will have up to 4 minutes to share. Pre-recorded contributions are encouraged. This option is available both for participants joining virtually and in person. If so, please provide a brief description of what you would like to do:
Would you like to participate in our art and culture night on Saturday evening, October 8th?
This question also applies if you are planning to attend Saturday, October 8th virtually as well.
The final day of the Membership Assembly, Sunday, October 9th, will be online on a video conference platform called Zoom. Have you ever used zoom?
Do you have reliable internet?
Do you have a computer or tablet?
Do you have a smartphone?
What support do you need to connect to the Membership Assembly?
Will you need interpretation for our Membership Assembly?
Please list the language you are most comfortable with:
Do you need materials physically mailed to you beforehand? (through the US mail, not e-mail)
Do you need large print materials?
Do you have any accessibility needs other than what has been asked? If so please list them.
PPF is able to help offset some of the costs people have in attending an in-person regional assembly for Active Members. This can include lost wages, gas, tolls, etc. We can provide stipends capped at $120. If "no" please leave field blank.
Do you need a stipend to participate fully in the Membership Assembly? If so, how much?
The Membership Assembly takes all of us to co-construct the gathering into a successful Assembly. Part of making the Assembly a success requires us to volunteer for a task to take on during the assembly. We call this "Militant Work." These tasks include timekeeping, notetaking, mistica, tech, set up/break down, or being a virtual meal host. We will reach out close to the MA with your assigned task.
Virtual meal host
Room set up / break down
I would prefer to not take on militant work
Do you have any questions about this year’s Membership Assembly?
Anything else you’d like us to know?