PAD 2025 Advocacy Day Sign Up

Advocacy Day/Screenings at the Capitol Volunteer Sign Up
Name*

First NameLast Name
MD, DO, Other*
Email*
example@example.com
County of Residence *
I am interested in volunteering my time for the*

Legislative visitsScreenings for the publicEitherBoth
Have you ever participated in an Advocacy Day before?

YesNo
Describe your experience with Advocacy Day:
Choose your preferred volunteer time. Volunteers will receive lunch regardless of time slot chosen.

9:00 am-12:00 pm12:00 pm-3:00 pmAll Day
What sparked your interest in participating in Advocacy Day?:
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Advocacy Day/Screenings at the Capitol Volunteer Sign Up