2025 Winter Forum Legislator Registration

Please complete the form to register.

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2025 Winter Forum - Legislators

"*" indicates required fields

Board of Directors*

Are you a member of the DLCC Board of Directors?

Title*

Please enter your leadership title, if applicable.

May The DLCC use the above leadership title on materials promoting this fundraising event?*

First Name*

Last Name*

State & Chamber*

Please select your state & chamber

Day-of Email*

Day-of Phone*

Are you filling this out on behalf of the attendee?

Yes

Your Name*

Your Email Address*

Your Phone*

Board of Directors Meeting Attendance*

Will you attend the December 11th Winter Board of Directors Meeting in person?

Chairs Council Dinner Attendance*

Will you attend the Chairs Council Dinner on December 10 at 6:30 PM ET?

Will you require a hotel room for the conference? (Board)*

The DLCC provides two complimentary nights (December 10th & 11th) for each board member. If you have travel constraints that require early check-in, late check-out, or an extended stay, please let us know in the field provided.

Will you require a hotel room for the conference? (Legislator)*

The DLCC provides one complimentary night (December 11th) for each legislator. If you have travel constraints that require early check-in, late check-out, or an extended stay, please let us know in the field 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*

Guest (Board)*

Will you bring a guest to the event? Guests may attend the Chairs Dinner on December 10th and the evening social event on December 11th.

Guest (Legislator)*

Will you bring a guest to the event? Guests may attend the evening social event on December 11th.

Guest Name (Board)*

What is the name of your guest?

Guest Name (Legislator)*

What is the name of your guest?

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, scheduling issues, or would like to request any ADA accommodations.

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.

Contributions or gifts to the Democratic Legislative Campaign Committee are not tax deductible.