NBCSL Education Policy Summit Cultivation Young Black Minds Powered by EdChoice – Registration Form Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastState *District Elected Position (Select) *SenatorRepresentativeDelegateLeadership Position (If applicable)Legislative eMail *Personal eMail *Work Phone Number *Mobile Phone Number *Arrival DateDateTimeDeparture DateDateTimeAre you up to date with your Membership Dues? *YesNoNot SureFood Allergies? ( Please state)Register
