Lobby Day 2026 Participation Form

Lobby Day is on Thursday, January 29th, 2026. Please RSVP no later than Friday, January 23rd, 2026.

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* 1. Name

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* 2. Email

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* 3. Home Address

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* 4. Practice Address, if Applicable

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* 5. Phone (optional)

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* 6. Which shift are you signing up for?

Full Day: 8am - 4pm

Morning: 8am - 12pm

Afternoon: 12pm - 4pm ***We especially need volunteers at this time***

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* 7. Please select which best applies to you.

Licensed Acupuncturist

Student