Capitol Day 2026 Registration
Name
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Last
Member Type
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MD
DO
Resident
Medical Student
Phone Number
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Please enter a valid phone number.
Email
*
example@example.com
Member of MS Chapter American Academy of Pediatrics
*
Yes
No
Events you plan to attend:
*
I am interested in taking a Capitol Tour with Guide
Morning Meet & Greet in Rotunda
Legislative Luncheon
Box lunches will be ordered for those who RSVP to attend. The luncheon will be held at Galloway United Methodist Church which is just south of the Capitol Building. (Students are welcome)
*
Yes
No
Dietary Restrictions (Please list any dietary restrictions you may have):
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