2025 VNA Nursing Lobby Day Registration

Name*

First NameLast Name

Credentials:

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Phone Number*

Area CodePhone Number

I am a:

NurseStudent Nurse

Your Organization (please check ALL organizations of which you are a member)*

Would you like a team leader for your legislators? (You will lead other RNs and student nurses during your legislator visit(s) who are new to advocacy.)*

YesNo

By submitting this form, you are consenting to receive emails from the Virginia Nurses Association. We will never sell your contact information to outside parties.

Nursing Lobby Day Registration | Tuesday, January 21, 2025