June 7th Mobilization in Albany to Win the New York Health Act: The registration deadline has passed, but we will make attempts to accommodate anyone who signs up after 6/1 - please be patient with our team.
We are the closest we have ever been to winning universal healthcare for all New Yorkers. We ask you to join us in Albany on Monday, June 7th at 9:30 AM for our final push to win the New York Health Act THIS legislative session. This will be a statewide day of action organized by the Campaign for NY Health.

Please fill out this pre-registration form no later than Tuesday, June 1st if you are interested in joining us. Your response is necessary to help us determine the logistics of transportation and COVID-19 safety, but will not be considered a final commitment to attend.

We are aware of the heightened safety/risk-sensitivity for people who are #HighRiskCOVID (immunocompromised, live with chronic illness and/or disabled) in organizing shared transport.  

There will be a light breakfast of bagels and juice provided upon arrival in Albany. There will also be two packaged lunches provided. Dietary information will be collected during the final confirmation of your RSVP!

A final registration form to confirm commitments will be circulated once all of the transportation and COVID safety logistics have been determined according to the feedback we receive on this form, so that you can take those details into consideration before confirming your attendance. 

We look forward to winning the New York Health Act with you!
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Email *
First Name *
Last Name *
Phone number (cell/mobile is preferred) *
Street address *
Zip code *
City of residence *
Are you a volunteer, member, or staff person at an organization affiliated with the Campaign for NY Health? If so, name the organization and your title (if applicable). *
Have you been vaccinated for COVID-19? *
Date of first COVID-19 vaccine dose. (If you do not plan to get a vaccine, type "n/a"). *
Date of second COVID-19 vaccine dose.  (If you do not plan to get a vaccine or received the Johnson & Johnson one dose vaccine, type "n/a"). *
Are you comfortable riding a shared bus to Albany if all passengers are masked and fully vaccinated? *
Are you comfortable riding a carpool to Albany if all passengers are masked and fully vaccinated? *
If we need a carpool, do you have a car and would you drive people? *
If you are #HighRiskCOVID, are there any additional precautions/group travel arrangements for us to consider when organizing transport that would help facilitate your participation? [please check all that apply]
If you are able to drive people to Albany, would you like reimbursement for gas?
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If we rent a bus for transportation from your city, will you make a donation towards the cost? *
Are you interested in participating in civil disobedience with a clear plan shared with you in advance, including arrest support and safety protocols? The main action and civil disobedience will have clear separation so that those not participating in civil disobedience are safe from arrest and police. *
Do you have any accessibility needs or concerns?
Is there anything else you would like us to know?
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