Sylvania Political Forum Registration

Name*

Address*

Phone*

Email*

Race in which you appear on the ballot*

Party Affiliation*

Bio*

By submitting this registration I agree to participating in the Sylvania Political Forum on October 24. I will adhere to the rules and regulations outlined by the Sylvania Area Chamber of Commerce and Lourdes University. I will conduct myself in a professional manner at all times and be respectful of fellow candidates, the moderator and staff.