Community Health Center Grassroots Advocacy Day 2016 Registration Form

Date: March 7, 2016
Location: Empire State Plaza, Albany, NY
Fee: Complimentary

Thank you for registering for Community Health Center Grassroots Advocacy Day. Please fill out this form and click "Submit" at the bottom of the page to complete the process. It is important that we have a completed registration form for each person planning to attend, as we will use these numbers to determine the amount of food needed. If you would like to register additional people, you will be given the opportunity to return to this page once you have submitted the current form.  

If you have questions or need additional information, please contact us at grassroots@chcanys.org or call Kate Graetzer at (518) 434-1115.

Thank you.

CHCANYS is unable to provide transportation to/from Advocacy Day. Please contact your health center to make travel arrangements. Car pools, buses or vans are recommended.