Central Maine Community Meeting

Wednesday, August 10

6:00-7:00pm

We will be in meeting in Auburn. Please register for the exact address. Join us for this meeting, and we’ll talk about the things we'll be doing together over the next month.

Questions? Email MPA Organizer Carrie at carrie@mainepeoplesalliance.org.

Register

First Name *

Last Name *

Email Address *

Phone *

Cell Phone (if different)

Street Address

City/town *

State

Postal Code

Pronouns

She / Her He / Him They / Them

Do you identify as transgender, nonbinary, intersex, or otherwise gender non-conforming?

How would you describe your gender identity (please select all that apply)?

Male/Man Female/Woman Nonbinary Intersex Gender queer Gender fluid Agender Other

Do you identify as, or consider yourself part of the LGBTQ+ community?

I identify my ethnicity as:

Select all that apply

Any accessibility requirements / accommodations?

Do you need interpretation? If so, what language?