First Name
Last Name
Email
Company
Address of Your Primary Residency
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Zip
Phone (No Dashes)
Race
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White
Asian
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Multiracial
Prefer to self-describe
Prefer not to state
Hispanic/Latino
Do you require any accommodations for mobility during the event?
In order to better understand the perspectives of our attendees, would you mind indicating your political affiliation, if any?
Democrat
Green
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Other
Republican
Unaffiliated
Working Families
Are you registered to vote?
Yes
No
Please indicate if any of the following identities apply to you (optional, select all that apply):
Veteran
Medical cannabis patient
Law enforcement
Medical professional
Formerly incarcerated
Cannabis business owner
Employee at a cannabis business
LGBTQ+
Other
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