YAL Liberty Candidate Academy Registration Form - Sign Up Today!
Please complete the below form to register for an upcoming Liberty Candidate Academy happening in your area.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Cell Phone *
Address *
City *
State *
Zipcode *
Date of Birth *
MM
/
DD
/
YYYY
Are You a Current Student? *
Running For: *
Running As: *
Your District Number (if applicable) *
Which LCA Are You Registering For: *
You Plan to Run In: *
In 200 words or less, tell us why you are running? *
What are the (3) most important issues in your district? *
How much money do you plan to raise for your race? *
How much money have you raised so far? *
How much money would you personally be willing to invest in your race? *
How did you hear about this event? *
We'd like to contact you by phone.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of Young Americans for Liberty.