Registration Form
On Tuesday, April 23rd, we’re mobilizing across the state to fight for health justice by sharing our stories about the impact of the HIV, STI, overdose, and viral hepatitis epidemics on our communities and by advocating for increased investments to address these epidemics across the state.

END THE EPIDEMICS DAY OF ACTION
TUES, APRIL 23 FROM 10AM - 5PM
SACRAMENTO, CA
  • Learn more about the issues and how to make your voice heard by attending our advocacy training
  • Fight for change by rallying on the steps of the Capitol & sharing your story with your legislator
  • Build the movement by meeting other activists across the state
Together, we can raise our voices in the fight to bring health justice to those most impacted by HIV, STIs, viral hepatitis, and overdose. Register below!

DEADLINE TO REGISTER - FRIDAY, APRIL 5 AT 5PM
Reach out to Ryan Clary (ryan@eteca.org) if you have any questions. 
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First Name *
Last Name *
Email *
Phone Number *
Organization / Group
If you're not joining as part of an organization, you can put "community advocate" or skip this question.
Address *
This will help us identify your legislators if you are unsure who represents you in the state legislature.
City *
Zipcode *
Which of the following Day of Action Activities do you wish to participate in? *
Please note: Unfortunately there are a very limited number of legislative visits, and selecting legislative visits is not a guarantee of participating in one.
Required
What is your top priority during the Day of Action? *
Choose one issue - your top priority.
Which other issues are you most excited about advocating for during the EtE Day of Action? *
Choose all the issues you care about!
Required
Have you participated in legislative visits or met with legislators and their staff before? *
Required
Are you willing and able to lead a small team in a legislative visit? *
Who is your CA State Senator? *
You can use this tool to identify your state representatives:  Find Address (ca.gov)
Who is your CA State Assemblymember? *
You can use this tool to identify your state representatives:  Find Address (ca.gov)
Do you have any dietary restrictions? *
You can indicate allergies in the "Other" option.
Required
Do you require any special accommodations to attend Day of Action? 
We will do our best to fulfill all accommodation requests and will let you know if there are any requests that we cannot. IF so please explain the nature of the accommodation you're requesting.
Are you fluent in English and Spanish? 
Clear selection
Travel Support *
Travel support requests have closed. We are unable to provide any additional travel support.
Required
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This form was created inside of San Francisco AIDS Foundation.