IDA Rally Registration

Indiana Disability Alliance Rally Sign-Up

November 17, 2026 / 11:00 AM-12:30 PM ET / Indiana Statehouse
Full Name

First NameLast Name
Including yourself, how many people will attend the rally in your party?
County of Residence
Do you know the name of your Indiana State Representative and/or Senator?
If yes, what are the name(s) of your Indiana State Representative and/or Senator?
Email Address
example@example.com
Does the Alliance have permission to email you?
Should be Empty:

Indiana Disability Alliance Rally Sign-Up