2025 Rally for Medical Research Participant Sign-Up

General Information

Registration Deadline: September 8, 2025

Website

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* 1. Please enter your full name

First Name

Last Name

Suffix (MD, PhD, Jr., Sr., etc.)

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* 2. Business Name / Organization (if applicable)

Title/Role (if applicable)

Affiliated Organization

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* 3. Please provide your home address.

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

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* 4. Please provide a contact number in order to reach you while in Washington, DC with any day-of-the-Rally changes.

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* 5. Email Address

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* 6. Please provide your business address.

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Phone Number *

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* 7. Have you participated in a Hill Day before?

Yes

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* 8. What events will you participate in during the 2025 Rally for Medical Research?

Rally for Medical Research Training (3:00 pm - 5:00 pm Wednesday, September 17) National Press Club, Washington, DC

Reception to Celebrate Medical Research (6:00 pm - 8:00 pm Wednesday, September 17) Capitol Hill, Washngton, DC

Rally for Medical Research Breakfast (7:00 am - 9:00 am Thursday, September 18) Hilton Washington DC National Mall The Wharf

*Please note that attendance at both the Rally for Medical Research Training and Breakfast is highly recommended, especially for first-time Rally participants.

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* 9. Are you interested in hotel accommodations in Washington DC for the Rally for Medical Research?

Yes

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* 10. Do you have any special relationships with House or Senate offices?

If yes, list office(s).

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* 11. If active on social media, what is your X/Twitter handle? (Optional)

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* 12. How would you describe yourself?

Government Relations professional

Affiliated Organization staff

Patient advocate

Scientist

Student

Physician or healthcare professional

Industry representative

Survivor

Other (please specify)

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* 13. Do you require any special accommodations to participate in the Rally for Medical Research? Please include any dietary restrictions.

Yes (please specify)

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* 14. How did you hear about the Rally for Medical Research Hill Day?

Affiliated Organization

Email or newsletter

AACR Action Alert

Past participants

Friends and family

News coverage

Other (please specify)

To ensure a coordinated and effective Hill Day, all congressional meetings will be scheduled through Soapbox Consulting, which manages logistics on behalf of the Rally for Medical Research coalition.