I&E Days 2026 Registration I&E Days 2026 Registration Form "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Name * Required First Last Please provide your pronouns.Note: pronouns will be printed on your name badge.Voting Address * RequiredUsed to match you with your state Assembly Member and Senator. In most cases, this will be your home address. Please do not list your office address. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Work Email * Required Would you like to be added to the Center's email list to get informtion about training, TA or other services? * Required Yes No Cell Phone:By entering your cell phone number, you agree to receive I&E Days updates and reminders about the event and legislative meetings from meeting leads. Message and data rates may apply. Message Frequency may vary. Text HELP for help. Text STOP to opt out. What is your Tobacco Control Project or Affiliation? * Required CTPP-funded Project Coalition Member Contractor or Consultant Voluntary Health Organization Please spell out Organization Name: * RequiredNo Acronyms Please Which days will you attend? * Required Both Days Day 1 only (May 11) Day 2 only (May 12) Please rate your level of comfort meeting with decision makers: * Required Very Comfortable – I feel confident and prepared for these meetings. Comfortable – I generally feel at ease, with minor concerns. Neutral – I neither feel comfortable nor uncomfortable. Uncomfortable – I feel some hesitation or uncertainty. Very Uncomfortable – I feel anxious or unprepared. Do you have specific concerns about meeting with your legislative office for personal reasons? If so, a staff member will be in touch to discuss this further. * Required Yes No Each legislative meeting requires a Meeting Lead. Are you willing to be a Meeting Lead? * RequiredMeeting leads help each group prepare for their legislative meetings. Meeting Lead trainings are provided to prepare meeting leads, both new and experienced. Yes, No Support Needed Yes, With Support Only if Asked Each legislative meeting has different roles. Which role would you be most interested in taking? * Required Meeting Lead – Help guide the discussion and keep the meeting on track. Speaker – Share your story, perspective, or facts. Supporter (No Speaking) – If my group is large enough, I would like to attend the meeting to show support without speaking. Do you require accommodation (e.g. visual or hearing impairment, accessibility needs, language interpretation, etc.). If yes, please provide details and a staff member will be in touch to discuss further.During the event, food will be provided for attendees. Please select dietary preferences: * Required(Note: We value the health of our guests. As advocates for wholesome living, we are committed to offering healthy food and beverage choices consistent with the AHA Dietary Guidelines, including fruits, vegetables, whole grains, and the exclusion of sugary beverages and saturated fats.) No dietary restrictions Vegan Vegetarian Gluten Free Dairy Free Other If you selected "Other", please explain below.Hotel Information Holiday Inn Sacramento Downtown – Arena 300 J Street, Sacramento, CA 95814 Hotel Website Check-in: May 27 Checkout: May 28 The opening session on May 27 and morning gathering session on May 28 will be held in the hotel’s meeting space. The hotel is a 15-minute drive from Sacramento International Airport (SMF) and 15 min walk from the California State Capitol. Price: $150 (state rate) a night when you use the room block. We strongly encourage those staying overnight to book within the room block. There are limited rooms within our room block, we encourage you to book early if you would like to stay at the Holiday Inn. Please use Code: AHA - Rooming Link Consent and Acknowledgements By checking "Yes," I consent to the terms and conditions of the Talent, Publicity, and Media Consent and Release Form. * Requiredhttps://organizingtoendtobacco.org/wp-content/uploads/2026/01/Consent-Form.pdf Yes No Consent * RequiredBy registering, I agree to: *Attend the I&E Days Virtual Trainings in advance of the event or watch the recorded trainings. *Attend legislative meetings with my Assemblymember and my Senator. *Prepare with my constituent group in advance of I&E Days. By participating, I acknowledge and agree that I will not engage in any lobbying activities during the event. My role is solely to educate legislators about the impact of commercial tobacco on my community. For guidance on allowable vs. non-allowable activities such as lobbying vs. education activities, please consult with your project officer or visit CTPP’s website: https://www.tcspartners.org/Campaigns/LocalPrograms/Trainings.cfm. I have read and agree to the above statement. * RequiredThere is a $175 registration fee to attend this event. You will receive an invoice upon completing registration. CAPTCHA Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Click to share on LinkedIn (Opens in new window) LinkedIn