Quilombo Listening Session RSVP Form

Quilombo Listening Session RSVP Form
Meeting Date: Sunday, March 30 and April 27, 2025

Meeting Time: 2:00PM-4:00PM CST

Location: South Shore Library meeting room; 2505 East 73rd St, Chicago, IL 60619

This will be an informal meeting to meet members of Chicago Quilombo's team, and share what you as a member of the South Shore community, want to see in this area that supports Black Young adults (18-35).
Are you going to attend the Quilombo Listening Session?*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
What is your age group?*

Under 18 (all ages welcome, with parental/guardian consent)18-2526-3536-5556+
Zip Code*
(of your organization, business or home)
Address

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about this meeting?*

I got a flyer outside or at my homeI saw it on social mediaI heard about it from an organization or businessWord of MouthI got an email/text/callOther
Organization/Business Name
Position/Title
Are you going to attend with another attendee?
Do you have any questions or concerns, or accessibility needs?
Should be Empty: