Your Name (required)
Your Email (required)
Your Phone Number (Optional)
Are you a deputy voter registrar? If so, in which County? NoHarris CountyBrazoria CountyFort Bend County
What are your Policy Interests? Children and FamiliesDiversity, Equity, and InclusionEconomyEducationEnvironmental JusticeGun Reforms/Violence PreventionHealth Care ReformsInfrastructureImmigration ReformLGBTQ+Mobility/TransportationReproductive RightsSocial Equity/Anti-PovertyWorker's Rights and Benefits
Do you have interest in Local, State, or National Political Affairs? PearlandAlvinManvelBrazoria CountyFort Bend CountyHarris CountyTexasFederal
Do you have interests that are not listed or have specific policy goals or issues you would like to see resolved?
How would you like to get updates from Pearland Democrats? FacebookThreadsBlueskyWhatsappSignalInstagramEmail/Digital NewsletterMobilizePhoneWebsiteIn Person Meet UpsOther
Details for Other Platform(s)
What do you hope to achieve through your participation in the club? Community & FriendshipCommunity Volunteering OpportunitiesEducation on IssuesTools for AdvocacyOpportunities to Support CampaignsResources for Running for OfficeElection Support and Get out to Vote
Do you have other aspirations for your club involvement and talents or interests you would like to share? List Details below. (I.E. Host Events, Graphic Design, Committee Member, etc)
Can we contact you for volunteer opportunities? YesNo
Other Comments?
