2026 Family Medicine Advocacy Day registrationPlease enable JavaScript in your browser to complete this form.Use the form below to register for 2026 Family Medicine Advocacy Day. Note: Legislative meetings are available for up to four people per district. Please look for a confirmation email from WAFP within three business days with additional information that may need a response.Name *FirstLastEmail *Cell Phone (for day-of communications)State Legislative District where you reside (use numbers only in this field) *Registration for the legislative district you have selected is now full. You are welcome to attend the morning session of Family Medicine Advocacy Day; however, we are not able to schedule you for meetings with individual legislators.Not sure which legislative district is yours? Use the Legislature's District Finder page.May we share your email with other attendees from your legislative district to allow for coordination before FMAD?YesNoUse a different email than aboveWhat email address should we use?Are you a:Medical StudentResidentDo you have any dietary restrictions? *YesNoPlease list your restriction or allergy:Please tell us your preferred pronouns:They/Them/TheirShe/Her/HersHe/Him/HisPrefer no selectionOtherWhat should we print as your pronouns?Register Now!
