CCS Lobby Day Registration
Thank you for your interest in the CCS Lobby Day! Please fill out the form below with your information to register for an exciting day of community building, lobbying, and political action.
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Full Name *
Email *
Mobile Phone Number *
Parish of residence *
Will you be able to attend the CCS Lobby Day on Tuesday, April 18, from 8:30am-4:00pm? *
Do you need transportation to the state capitol? *
If yes, where are you located?
Would you be interested in giving a short statement of testimony to the legislative committee? If you'd like to speak but aren't sure what to say, don't worry! One of our volunteers will work to support you in writing your statement. *
Food will be provided to participants, free of charge. Please select your preference below. *
Please list any food allergies or dietary restrictions you have here.
There will be portions of the day that require standing. If you are not able to stand for long periods of time and might require a chair, please indicate so here. 
If you have any other mobility or accessibility needs, please name them here. 
Are you interested in receiving future email updates from the Louisiana Against False Solutions Coalition?
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Are you interested in regularly attending the biweekly meetings of the Louisiana False Solution Coalition?
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If you have any questions or comments about the CCS Lobbying Day, please write them here.
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