2024 Leadership Summit

Legislator Registration

Complete the form to register:

"*" indicates required fields

Title*

Please enter your leadership title, if applicable.

First Name*

Last Name*

State*

Day-of Email*

Day-of Phone*

Are you filling this out on behalf of the attendee?

Yes

Your Name*

Your Email Address*

Your Phone*

Will you require a hotel room for the conference?*

The DLCC provides two complimentary nights (June 24-26) for each legislator. If you have travel restraints that require an early check-in, late check-out, or an extended stay, please let us know in the box provided.

Hotel Scheduling Concerns

Please let us know if you need early check-in, late check-out, or extended hotel dates. For legislators with travel restraints, the DLCC may cover extra nights on a case-by-case basis.

Room Type*

Entree Selection - June 25*

Please select your entree for dinner the night of June 25. If you have dietary restrictions or concerns, please leave a note below in the comment section.

Guest*

Will you bring a guest to the June 24 opening reception and the June 25 dinner?

Guest Name*

What is the name of your guest?

Guest Entree Selection - June 25*

Please select the entreefor your guest for dinner the night of June 25. If they have dietary restrictions or concerns, please leave a note below in the comment section.

Post-Event Business Card Exchange

If you are comfortable with the contact information that you registered with being shared upon request after the event, please opt-in below.

Yes, please share my contact information.

Yes, reach out to me for my preferred contact information.

No, please do not share my contact information.

Comments

Please let us know if you have any food allergies, questions, or other concerns.

Please note some states restrict or limit the circumstances under which legislators may accept food, beverages, lodging, travel, or other things of value from certain sources. Many states also create exemptions for events like this. Before accepting anything of value at a DLCC event, we advise that you verify with an ethics official in your state that you may do so.

The DLCC is committed to providing reasonable accommodation as required by law. Please contact Liz Wainright at [email protected] to request disability accommodations. Advance notice is necessary to arrange for some accessibility needs.