Sickle Cell Advocacy and Awareness Day
The Sickle Cell Association is hosting our 2nd annual Advocacy Day! We will be traveling to Jefferson City, MO to advocate on behalf of Sickle Cell Awareness!
We will provide buses for transportation from St. Louis and Kansas City and a light breakfast and lunch. This will be a full day event, with departure around 6:30am and return around 4pm (full itinerary to follow).
We would like to invite anyone age of 18 or over to join (will make exceptions when possible).

Event Timing: February 28, 2018
Event Address: Missouri State Capitol 201 W Capitol Ave, Jefferson City, MO 65101
Contact us at (314) 833-76751 or

Full Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Zip Code (please enter your 9-digit zip code, if you know it, to help us identify your local legislators) *
Your answer
Dietary restrictions *
What transportation will you use? *
Do you have sickle cell disease, sickle cell trait, or neither but are a supporter of the cause? *
How many people including yourself will be attending the advocacy day? *
Your answer
If you are being joined by additional people, please share their names below along with their sickle cell status and dietary restrictions.
Your answer
Other questions, comments, suggestions/
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms