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General Information
- President's Name
- First Name
- Last Name
- Phone Number
- Email Address
- Street Address
  For the purpose of identifying your legislator. Please enter your actual street address - not a PO Box. Don't worry, we won't send you any mail!
- City/Town
- State
- Zip Code
- Are you a current TEACH member?
  - Yes
  - No
  - Unsure
- Want to join TEACH now?
  - Yes
  - No thanks
- Want us to confirm your status and get back to you?
  - Yes
  - No thanks
Please use the "JOIN or RENEW" button in the sidebar to join TEACH-CT =====>>>>>>>
Remember to come back and finish registering for Capitol Day when you're done!
Membership Status Request
We will check into your current membership status and let you know what we find via the email address you entered on this form. Please give us a day or two to get back to you. In the meantime, don't forget to finish filling out this registration form and click Submit!
Attendees
Please provide us with a count of who will be coming. This will help us plan accordingly for snacks and supplies. Your best guess is fine (we understand plans change).
- Number of Adults
  12 years and older
- Number of Children
  Under 12 years old
Capitol Tour
Both the 12:15 and the 1:15 tour timeslots are full to capacity. Please feel free to tour the buildings on your own or ask around among the other attendees for someone who has previously toured the building and is willing to walk around with you.
- Total Attending the Tour
  How many in your party will be attending the tour?
Item Name
Comments, Notes, Feedback
Anything else you would like us to know? Anything you had trouble finding on our website? Did this form give you any trouble?