Student Registration for Roundtable Event May 22nd, 2026, 1pm

Student Registration for Roundtable Event May 22nd, 2026, 1pm

Please use this form to RSVP to participate in the Roundtable. For questions, please contact Jocelyn LeBron at Jocelyn.LeBron@1199funds.org
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Which school do you attend?
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Do you have any questions for Senator Gustavo Rivera?
Should be Empty: