Call to Action Form | Oasis Community WM

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Call To Action RSVP

We value your privacy.

This information is only used for seating arrangements

and resource material at event.

First Name

Last Name

Email

WHICH ROLL BEST DESCRIBES YOU? *

Person with a disability

Parent of a person with a disability

Sibling of a person with a disability

Friend or relative of a person with a disability

I work as an advocate, service provider, or in the disability community

Please list Name and Relationship of all attending (parent, guardian, etc)

Name of person with disability

Age of Person with a disability

Select an option *

Male

Female

Non-Binary

Other

In what city and county does the person with a disability live?

SUBMITTED!!

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Oasis Community of West Michigan is a 501(c)(3) charitable organization. All contributions are tax-deductible. EIN# 47-4653171. No goods or services will be provided in exchange for the contribution.

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Oasis Community of West Michigan welcomes and embraces diversity in all forms. We do not discriminate on the basis of race, color, religion, gender, gender expression, age, national origin, disability, marital status, economic status, or sexual orientation in our membership or any of our activities or operations.

Although we hold many of our activities in a church building, we are not a faith-based organization.

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