Survey - 2022 SoCal Community Happy Hour RSVP - The ALS Association Golden West Chapter

2022 SoCal Community Happy Hour RSVP

Please join us for our SoCal Community Gathering on Thursday, March 10, from 4:00 - 6:00 pm at Pedals & Pints Brewery in Thousand Oaks. Grab a drink and a bite and meet fellow Golden West Chapter supporters and Staff in person!

1.

Please fill in your personal information.

*

Name:

First Required	Last Required

*

Email: Required

Phone Number:

Yes, I would like to receive important updates about this event from the Golden West Chapter

*2.

Question - Required - What is your ALS connection?

*3.

Question - Required - Have you participated in a Golden West Chapter event or support group in the past? Please select all that apply.

	No, I have never participated in a Golden West Chapter Event
	Yes, Walk to Defeat ALS
	Yes, Ride to Defeat ALS or other Team Challenge ALS event
	Yes, ALS Golf Classic
	Yes, Champions for Cures and Care
	Yes, Support Group
	Yes, Other

4.

Question - Not Required - If other, please explain...

*5.

Question - Required - By selecting "I agree" you expressly agree to comply with any and all rules and safety guidelines put in place by local authorities, and voluntarily assume all risks related to exposure to COVID-19, waiving all claims and potential claims against the event organizers, and their affiliated companies relating to such risks.