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for People with Disabilities
"Citizens Working Together to Improve Public Policy"
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Fast Facts
Utah Baby Watch
The Utah Baby Watch program serves an average of 3,600 children in any given month.
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Membership
General Information
*First Name:
*Last Name:
Email:
*Address:
*City:
State:
*Zip Code:
Home phone:
Work Phone:
Cell Phone:
Check all that apply
Consumer:
Parent:
Relative:
Educator:
Provider:
Legislator:
Non-Profit Org.:
Agency or Dept.:
Other:
Organization:
Title:
Primary Disibility
Primary Disability (optional):
Age Group I am most interested in advocating for
0-3 years:
3-5 years:
6-22 years:
Adult:
I am interested in the following committees
(Check all that apply)
Special Education
School for the Deaf or Blind
Higher Education
Early Intervention
Children's Healthcare
Medicaid
Mental Health.
Services for People with Disabilities
Rehabilitation
I can help in the following ways
Contact legislator in my area
Attend LCPD Meetings
Come to the Capitol
Serve in leadership
Write or call other advocates
Email / Calling Tree
Area Representative
Other
House/Senate Districts
Senate:
1
2
3
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5
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9
10
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12
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15
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29
House:
1
2
3
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5
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8
9
10
11
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14
15
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17
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19
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21
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Please Note:
In the blanks beside "Senate" and "House", above, please choose the district numbers where you live. If you do not know these district numbers, go to
www.le.utah.gov
or contact your County Clerk (Call 801-538-1041 to find your County Clerk)