Request edit access
Day on The Hill registration form
Please join us for our League advocacy day at the State House on Wednesday, October 11 at 9:30 AM. Please register by the deadline of Wednesday, October 4 at 5:00 PM to allow time for us to schedule appointments with your legislators. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Local League *
Street address *
City *
Zip code *
Will you be attending in-person or virtually? *
If you are attending in person, do you require accessible parking?
Clear selection
Name of your State representative  *
Name of your State senator 
Not sure? Find them here:
 *
Would you like to receive email updates on any of the following topic areas from the LWVMA legislative specialists? If yes, check all that apply.
Is there anything you would like to add?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms