april25test

First Name *

Last Name *

Email *

Cell Phone Number

Congressional District State / NumberFor example, you can write in California 5th District or CA 5. If you are from DC, you can write in “No Taxation without Representation”.

Which city do you live in?

Dietary Restrictions

Will you be working with an ANA group to prepare for DC Days?YesNo

Which group?

Other unique needs/notes

Have you attended DC Days before?YesNo

Which years?

ScholarshipCheck here if you received a scholarship for DC Days 2025

CHECK PAYMENTPAYING BY CHECK?Click here if you prefer to pay by check.

GROUP PAYMENTPAYING AS A GROUP?IF YOU ARE PAYING FOR YOUR WHOLE GROUP RATHER THAN JUST YOURSELF - Check this box and click register, then pay

Please send check to:

Jennifer Viereck,
PO Box 1403,
Abiquiu NM 87510

REGISTRATION COST:

- Student/Under 30 to Under 30 or BIPOC or Frontline Communities Registration (prior to April 8): $150
- Regular Registration (Prior to April 8): $225
- Student/Under 30 to Under 30 or BIPOC or Frontline Communities Registration (after April 8): $200
- Regular Registration (after April 8): $350

PAY ONLINEChoose registration option

Jennifer Viereck,PO Box 1403,Abiquiu NM 87510

REGISTRATION COST:

Recent Posts

Jennifer Viereck,
PO Box 1403,
Abiquiu NM 87510