State Advocacy Workshop

Louisiana State Advocacy Workshop Registration

First Name *

Last Name *

Email *

Primary street address *

City *

U.S. State *

Zip code *

Birthdate (mm/dd/yyyy) *

What is your racial or ethnic identity? *

What is your gender identity? *

Previous advocacy experience (Please note that previous experience is not required.)

Special accommodations and/or accessibility needs?

I acknowledge that any photos taken during this IDF event may be used by IDF for coverage and promotional purposes, including, but not limited to, newsletters, brochures, social media, media coverage, and websites. * Yes

Mobile number *

I give consent for IDF to text my mobile number. Yes

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