Register for Our Streets Day on the Hill "*" indicates required fields First Name*Last Name*Pronounsex. she/her, he/him, they/themEmail Address* PhoneStreet AddressLegislative Districte.g. 63B | Not sure? Find your district: https://www.gis.lcc.mn.gov/iMaps/districts/CityStateSelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*Will you attend the rally at 11am?* Yes No Do you have any dietary restrictions?* Yes No If yes, put down your dietary restriction(s)What times are you available to meet with representatives?* 12-1pm 1-2pm 2-3pm 3-4pm 4-5pm Select AllCheck all that apply.Do you require any accommodations to fully participate in this event, such as wheelchair access, sign language interpretation, large print materials, or other accessibility features?Any questions or comments for us?CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
