Affiliate Outreach - Cerebral Palsy Associations of New York State

Legislative Contact Form

Tracking Affiliate Legislative Outreach

Name(Required)

First Last

Email(Required)

Affiliate

Name of legislator(s) engaged

How did you engage them (check all that apply)

Office visit

Site visit

Phone call

Other

What feedback did you receive from the legislator?

Please note if there's a follow-up meeting scheduled. Leave blank if you didn't receive feedback.

General comments, stories shared, feedback from participants, etc.

Be candid. Your feedback is valuable for effective advocacy.