Advocacy Day 2024 Attendee Sign-up Form
Legislative Season is upon us! 
New York Midwives invites both students and working midwives to participate in our annual Advocacy Day-
April 14, 2024- Quarterly Board Meeting (open to all) and Dinner (open to all)
April 15, 2024- Advocacy Day 

 If you wish to attend, please fill out the form below. We ask for that you complete the entire form to best help with scheduling and connecting you with your legislator. 

Students will receive some financial assistance for everything but travel.

To find your legislative representatives, visit: 

If you have any questions, please contact Legislative Committee Co-Chair, Sherrie Hunter Kelly shunterkelly@gmail.com

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Email *
Preferred First Name *
Last Name
Email *
Phone Number
Are you a *
If you are a student, which program do you attend?
Street Address
City
Zip code
Who is you Assemblymember? 
Find them at https://nyassembly.gov/mem/search/
Who is your Senator? 
Find them at https://www.nysenate.gov/find-my-senator
Are you available to attend Lobby Day on April 15th? *
Will you be attending the in person Board Meeting  and dinner on April 14th in the evening?  *
If you are attending, do you plan to stay over night at the selected hotel?  *
Select your T-shirt Size *
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