General Information

Registration Deadline: September 9, 2026
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1. Please enter your full name (Required.)

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2. Business Name / Organization (if applicable)

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3. Please provide your home address. (Required.)

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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. (Required.)

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5. Email Address (Required.)

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6. Please include your business address if it's in a different congressional district than your home.

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7. Have you participated in a Hill Day before? (Required.)

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8. What events will you participate in during the 2026 Rally for Medical Research? (Required.)

*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? (Required.)

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

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11. How would you describe yourself?

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12. Would you be interested in serving as a state leader for the 2026 Rally for Medical Research Hill Day?

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

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.

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