2022-2023 National PTA Reflections Registration Thank you for registering for the 2022-2023 Show Your Voice! Reflections program. Your registration helps us show the wide reach and impact of the Reflections program. Please note: Due to a large number of registrants, you will not receive a confirmation email. Contact Information Individuals and Local PTAs should participate in the Reflections program based upon the specific forms, deadlines and guidelines required by their State PTA. Be sure to check with your State PTA to receive specific state guidelines, rules and deadlines. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Question Title * 4. My race/ethnicity is: African American/Black Asian/Pacific Islander Caucasian/White Hispanic/Latinx Native American/Alaskan Native (not Pacific Islander) Bi-racial/Multi-racial Prefer not to answer Prefer to self-describe: Question Title * 5. My gender is: Male Female Transgender Non-binary/Gender expansive Prefer not to answer Prefer to self-describe: PTA Information Question Title * 6. Official PTA Name Question Title * 7. PTA 8-digit ID (Find your ID using our Local Unit Lookup) Question Title * 8. City Question Title * 9. State AE AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VI VT VA WA WV WI WY Please note: If you are a student participant, a parent/guardian supporting a student participant or an educator, please select the "Program Participant" option. If you are registering your PTA, please select the level of your PTA. Question Title * 10. My Program Level: Program Participant (student, parent/guardian, educator) Local PTA Council PTA District PTA Region PTA State PTA Next