Conversation360° Attendee RSVP

Conversation360° Attendee RSVP

For additional program information, location, and time, please visit www.disabilitysa.org/conversation-360
Name

First NameLast Name
Email
example@example.com
Cell Phone Number
Please enter a phone number that can receive textsFormat: (000) 000-0000.
Acknowledgement:
Which Conversation360 session(s) would you like to RSVP to attend? Select all that apply.
The Conversation 360° is for individuals who are from a variety of backgrounds to come together in a well rounded discussion about issues in our community that impact the lives of people with disabilities. To help us know who is in the room, please mark the indicator below to which you most closely identify.
How do you identify? Please select all that apply.
Preliminary Questions (These questions will be provided to our panelists and discussion facilitators to answer before questions are taken from the floor):
Are you in need of any accommodations for this session?
Would you like to be invited to join disABILITYsa's online space to continue the conversations and access the resources shared at Conversation360 sessions?
This next set of questions are optional to help us improve our outreach and funding efforts. If you wish to skip this section, you may scroll to the bottom of this form and click the green, "Submit" button now.

There are seven questions in this section. Thank you for sharing with us.
How did you hear about this event?
Which Organization?
Which Community Calendar?
Do you identify as any of the following? Select all that apply.
What is your age range?
Which best describes your gender identity?

Prefer to Self Describe
Which best describes your race/ethnicity? Check all that apply.

Prefer to Self Describe
Zip Code
In what area do you live?
Not sure? Use this link to help find your district: https://www.sanantonio.gov/Council.
Should be Empty: