Add Your Name

We welcome Signatures from:

Business owners, executive directors, employees, community members, and healthcare professionals.

PLEASE NOTE: You MUST verify your email after signing

If you’d like to show your support, please download a logo and share our message on social media:

Join us!

Please fill out the form below to add your name to the list. We will display your name, your business name, and your city on our public list. PLEASE NOTE -- you will have to verify your email by clicking on the link in an email that will arrive after you submit.
  • We will not display this publicly, but we will use it to validate you and potentially for us to contact you.
  • We will display your city on our public list.
  • This field is for validation purposes and should be left unchanged.