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 (Required.)

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2. Email (Required.)

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3. Home Address (Required.)

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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? (Required.)

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. (Required.)

Licensed Acupuncturist

Student