Join the 2023 Lobby Day for Medicare for All 
Join us May 4th 2023 for our in-person Lobby Day at the State House!

Lobby Day will take place from 10AM to 3PM. Legislator visits will be scheduled from 12PM to 3PM. 
  • No experience needed - we'll show you the ropes! 
  • You can take or decline to take a speaking role - totally up to you! 
  • The meeting will be planned around everyone's schedule - if you can't make it, you can still sign the district letter and email or call the legislator as part of the team! 
Please fill out this form if you'd like to join! If you have questions, please contact the campaign here: info@masscare.org
Sign in to Google to save your progress. Learn more
First Name: *
Last Name:  *
Email Address: *
Phone Number *
Zipcode *
My State Representative is:

*(fill in your address here if you don't know, or Look Up Your Legislators Here) 
 *
My State Senator is: 
YES I will LEAD a delegation to my State Senator or State Representative, including reaching out to the legislator to schedule a constituent visit for May 4th between 12pm and 3pm.  

(No former lobbying experience required - we will support you!) 
Clear selection
I can not lead a delegation, but I will PARTICIPATE in a delegation to my State Senator or State Representative, or other legislators as needed on the day: 
Clear selection
I would like to represent a UNION at Lobby Day, and my union is:
I have the following dietary restrictions: 
I can not make it to the State House that day, but will help with planning and logistics 
Clear selection
Do you have any internet connectivity issues, language barriers, medical conditions, disabilities, or different abilities for which you need accommodations during planning or the event?
Any comments?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms