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NDSC Day on the Hill Registration
RequiredRequired Question(s)

Please tell us the full name of each person from your family who will be attending NDSC's Day on the Hill:

 
Required 1.

First Person Attending (main contact):

 

50 characters left.
2.

What is the role of the first person attending?

Parent
Self Advocate
Sibling
Other Relative
Other  
3.

Second Person Attending:

 

50 characters left.
4.

What is the role of the second person attending?

Parent
Self Advocate
Sibling
Other Relative
Other  
5.

Third Person Attending:

 

50 characters left.
6.

What is the role of the third person attending?

Parent
Self Advocate
Sibling
Other Relative
Other  
7.

Fourth Person Attending:

 

50 characters left.
8.

What is the role of the fourth person attending?

Parent
Self Advocate
Sibling
Other Relative
Other  
9.

Fifth Person Attending:

 

50 characters left.
10.

What is the role of the fifth person attending?

Parent
Self Advocate
Sibling
Other Relative
Other  
Required 11.

Please enter the contact information indicated below for the first person attending (main contact).


Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

12.

Please enter the cell phone number of first person (main contact):

 

50 characters left.
13.

What is your level of advocacy experience? 

This is my/our first time as an advocate participating in a national advocacy day in Washington, DC.
We/I have previously participated in at least one national advocacy day related to Down syndrome.
We/I have previously participated in several advocacy events related to Down syndrome.
  • Comment:

  • 500 characters left.
14.

If you or a member of your family have a personal or professional connection/relationship to any of your Congressional delegation, please let us know:

 

350 characters left.
Required 15.

Advocacy Commitment
As an advocate for the Down syndrome community participating in the Day on the Hill on July 19th sponsored by the National Down Syndrome Congress, I agree to the following: 

I will attend the advocacy training the evening of July 18 in Washington, DC.
I will attend all advocacy meetings with Congressional leaders scheduled on my behalf on July 19th in Washington, DC.
I will serve as an ambassador of the NDSC with integrity while participating in the 2012 Day on the Hill.
I will focus only on those advocacy requests outlined by the National Down Syndrome Congress.

Our first advocacy training conference call was held on April 17th. Please visit our website to listen to the audio of the call and to download all related materials: http://convention.ndsccenter.org/

Additional training conference calls will be scheduled as needed.