2025 Member Assembly // Asanble Manm 2025 | Columbia County Sanctuary Movement CRM

Your Registration Information

First Name // Premye non *

Last Name// siyati *

Phone Number // Nimewo telefòn *

Street Address // Adrès lari *

City // Lavil *

Email // Imèl

Preferred Language // Lang prefere *

"Directly impacted” means you or someone in your family is an immigrant. It doesn’t matter what your legal status is. If you or anyone in your family was born outside the United States you are considered directly impacted, even if you were born here. // "Afekte dirèkteman" vle di ou menm oswa yon moun nan fanmi ou se yon imigran. Li pa enpòtan ki sitiyasyon legal ou. Si ou menm oswa nenpòt moun nan fanmi ou te fèt andeyò Etazini, yo konsidere ou kòm yon moun ki afekte dirèkteman, menm si ou te fèt isit la.

Are you directly impacted by the immigration system? / Èske sistèm imigrasyon an afekte w dirèkteman?

Directly impacted / Dirèkteman Afekte

Not directly impacted or are an ally // Mwen pa afekte dirèkteman e mwen se yon alye.

How many people are attending? / Konbyen moun ki ale nan?

If you're bringing children, what are their ages? / Si w ap mennen timoun, ki laj yo?

Dietary Restrictions // Restriksyon dyetetik

What Programs and Services priorities would you like to see in the coming year if any? // Ki pwogram ak sèvis priyorite ou ta renmen wè nan ane kap vini an si genyen?

What campaigns or organizing priorities would you like to see in the coming year if any? // Ki kanpay oswa òganize priyorite ou ta renmen wè nan ane kap vini an si genyen?