National Breast Cancer Coalition Fund

2023 Advocate Leadership Summit Registration

Contact Information

* First Name

* Last Name

* Email

Address

* State

Country

City

Postal Code

Phone

Organization

Additional Questions

Have you attended an in-person Advocate Leadership Summit before?

Did you attend a Virtual Advocate Leadership Summit in either 2020 or 2021?

Are you a Project LEAD Graduate?

If so, what year did you attend?

What is your relationship to breast cancer?

How would you identify your gender?

How would you identify your race/ethnicity?

What is your age?

How many years have you been involved in breast cancer advocacy?

If you are attending the Summit with a Buddy (see Summit homepage for more info), please indicate their name here:

Do you plan to attend Lobby Day?

* Please select your meal preference.

Please indicate any food allergies.

Please list any additional food allergies:

How did you hear about the Advocate Leadership Summit?

Summit Information

We look forward to seeing you on May 6-8, 2023 and Lobby Day on May 9, 2023. Please be sure to complete your registration by submitting this form.

Don't forget to book your hotel room at the Park Hyatt, Washington, DC. To make your reservations, please click here: NBCC Advocate Leadership Summit (hyatt.com)

If you need additional assistance, please contact us at 877-803-7534.

Please note: NBCC strongly encourages all attendees of in-person programming to be up to date on their COVID vaccinations per the CDC definition. Attendees will be required to test negative for COVID within 24 hours of travel to an NBCC event and confirm their negative test in writing. Additionally, attendees at NBCC’s Summit will be required to test at the end of the day on Sunday during Summit. Attendees with a medical exemption for vaccination must test at the end of each day of the event. Masks will be required throughout the event, except during meals. If you have any COVID symptoms or a member of your household has tested positive for COVID within 5 days of the event, do not attend.