Name *

First Name

Last Name

Phone *

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Which forum(s) can you attend? *

Check all that apply

Monday, Oct. 21. 12:30-2 p.m. Older Adults Community Conversation. Leisure World, 3701 Rossmore Blvd., Clubhouse 1 Crystal Ballroom, Silver Spring (Only Leisure World residents may attend in-person at Leisure World) Riderwood Senior Living Community residents in Silver Spring can view the presentation in their homes on Riderwood TV. Satellite viewing location: Damascus Senior Center, 9701 Main St., Damascus Satellite viewing location: Wheaton Community Recreation Center/Senior Center, 11701 Georgia Ave., Social Hall, Wheaton.

Wednesday, Oct. 23. 7-8:30 p.m. Chinese Language Community Conversation. Chinese Culture and Community Service Center (CCACC), 9318 Gaither Road, Suite 215, CCACC Art Gallery, Gaithersburg.

Monday, Oct. 28. 7-8:30 p.m. MCPS PTA Community Conversation. Julius West Middle School, Cafeteria, 651 Great Falls Road, Rockville.

Wednesday, Oct. 30. 7-8:30 p.m. Black/African American Community Conversation. Mount Calvary Baptist Church, Family Life Center, 608 North Horners Lane, Rockville.

Thursday, Nov. 7. 7-8:30 p.m. Spanish Language Community Conversation. Wheaton Community Recreation Center, 11701 Georgia Ave., Wheaton.

Race/Ethnicity

Please check all that apply

Native American or Indigenous

Black or African American

Hispanic or Latino/a/x

Asian

White

North African

Middle Eastern

Multiracial/Mixed Race