To register for Day at the Capitol, complete the below form. For more information about the event, download the event PDF.
Which event(s) will you attend?
Registering for TRU Youth/Adult Advisor Portion OnlyRegistering for BOTH TRU Youth/Adult Advisor Portion & PA DOH TA Conference (PA DOH TA Conference for Regional Primary Contractors & DOH staff only) (May 1 & 2, 2018)
Organization/School Street Address
Organization/School Street Address Line 2
Region Please SelectNWSWAlleghenyNCSCNESEPhiladelphia
Cellphone number (for day of event)
Adult T-shirt Size Please SelectXSSMLXLXXL
Please enter the name, HOME address, phone number, email address and region for each student you plan to bring along with you. NOTE: Only 15 students maximum per Adult Advisor.
Student Full Name:
Youth T-shirt Size Please SelectXSSMLXLXXL
Emergency Contact Person
Address Line 2
Emergency Contact Phone
+ Add Another Student
You have added the max number of students. If you want to add more than 15, please contact us.