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Advocacy Day Registration
WHEN
Tuesday, January 28th, 2025
9 AM - 4 PM
WHERE
Kansas Health Institute
212 SW Eighth Ave., Suite 300
Topeka, KS 66603
First Name
*
Last Name
*
Email Address
*
Pleas list dietary restriction/allergy for lunch below
*
N/A
Vegetarian
Vegan
Gluten Free - Celiac
Gluten Free - Prefference
Dairy Free
Allergy
Please describe dietary restriction if not listed/allergies below. If you do not have a food allergy, please type N/A
*
Name of your Kansas State House Representative
Name of your Kansas State Senator
Not sure who represents you in Kansas? Click here:
https://openstates.org/find_your_legislator/