Join Team EK4VA

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Join Team EK4VA

Truth and safety are non-negotiable. Ericka Kopp isn’t here to play politics. She’s here to fight for truth, justice, and your health. The people who’ve lied and endangered our nation must be held accountable. No more excuses. No more neglect. Ericka’s platform is built on fierce accountability and unapologetic access to healthcare. She refuses to let our communities be left behind or our health sacrificed for profit or power. In 2026, healthcare is on the ballot, and Ericka Kopp is running to defend it like your life depends on it. Because it does.

First name *

Preferred name (if different).

This is the name you identify with. Providing this allows our team to address you appropriately.

Last name *

Pronouns

Zip Code *

Email address *

I would like to subscribe to the Team EK4VA newsletter.
We do not share or sell your personal information. *

Yes

Cell number *

I agree to receive calls or texts from Team EK4VA regarding this campaign.

We do not share or sell your personal information.

Yes

Preferred method of contact
*

Are you in an hour's drive of Virginia's 1st district? *

Yes

How can we count on your support?
*

I will invest in change by contributing to Ericka Kopp's campaign.

I will vote for Ericka in the Primary Election (June 18 through August 4, 2026).

I’d like to volunteer with Ericka’s campaign (select option(s) below).

Other:

Required

How would you like to volunteer with us? *

Canvassing: Talk with voters around the neighborhood.

Phone banking and texting: Contact potential voters about the elections or events.

Fundraising support: Outreach and help with logistics.

Social Media and Content Creation: Make graphics and post on socials.

Event Planning: Organize or host events.

Research Support: Fact-check talking points and gather data.

Postcard Writing and Mailing

I can help wherever I'm needed.

I'm not sure what I can do, but I want to help.

Other:

Required

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

Forms