CARE Lobby Day Registration

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Registration for Lobby Day, Tuesday June 27, 10:30a-12:30p

Email *

What is your preferred method of contact? *

Text

Phone

If phone or text is your preferred method, please input your phone number below

Last Name *

First Name *

if you're part of any organization, please tell us which below!

Street Address *

Town *

Zip Code *

Please indicate if you are over/under 18yo *

Check if you are 18 or older

Check if you are under 18

Required

IF YOU ARE UNDER 18, please enter your birthdate

YYYY

IF YOU ARE UNDER 18, please provide your guardian's full name AND email address (or n/a if you are over 18) . *

Necessary for media release consent.

Are you interested in attending a training for CARE's lobby day (via Zoom)? *

Yes

Not sure, but please contact me with additional information

Please select your t-shirt size *

T-shirts are available to the first 100 registrants.

Required

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