The Six Triple Eight Watch Party Registration Form
A collaboration between 3-5-0 girls, VA Massachusetts Healthcare Systems, MA Women Veterans Network, and MA Executive Office of Veterans Affairs.
Attendee Information
Please fill name and accurate contact information. Registrants will be notified if there are any changes to this event.
Your Name
*
Miss.
Ms.
Mrs.
Mr.
Prefix
First Name
Last Name
Suffix
Email Address
*
example@example.com
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred method of contact for event updates:
*
Email
Phone
Which location will you view the movie? If you already registered for the Billerica or Marlborough location, please select "Other".
*
Billerica (Town Hall- 365 Boston Rd)
Bridgewater (BTV- 80 Spring St)
Hamilton (AP Gardner Post- 37 School St)
Marlborough (Senior Center- 40 New St)
Other
Will you have a guest with you? No more than one guest due to max capacity of space.
Yes
No
Guest Name
Miss.
Ms.
Mrs.
Mr.
Prefix
First Name
Last Name
Suffix
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to be notified about upcoming events?
Yes
No
How did you hear about this event? Select all that apply.
Social Media
Veteran Service Officer
VA Website
WVN Website
Friend
Partner/ Spouse
Flyer
Other
If you chose other, please specify.
Submit
Should be Empty: