Register for RootsCamp Philly!

Registration is only $10 -- start by filling out the form below.
Registration is not complete until payment is made on next page.

Country:

Email: *

First Name:

Last Name:

Address:

City:

State/Region/Province:

Zip / Postal Code: *

Phone:

Have you worked on the 2008 election cycle either as a staff person or a highly-committed volunteer:

Yes
No

If yes, what state(s) and campaign(s) have you worked for in the 2008 campaign cycle:

If yes, what was your position(s):

I am interested in being a Rootscamp Volunteer. We'll email you the times and options (registration, clean-up, etc). Don't worry, the shifts are short so you can participate in the sessions.:

Yes
No

Tell us what you would like to learn or present at RootsCamp and any other comments or suggestions you have: *

* denotes required field