Strolling Thunder™ 2023

Name of Parent/Guardian

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Name of Baby under 3:

First Name of Child

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Add another Child Under 3

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First Name of Child 2

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Add a Third Child Under 3

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First Name of Child 3

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Strolling Thunder Interest Form

Your Story

What do you want Members of Congress to know about your family, including your goals for your young children?

Think Babies focuses on six key policy areas. Mark the issue or issues that are most important to you

Paid family or medical leave; Affordable, high-quality child care; Early Head Start; Infant and early childhood mental health (mark here if you have ever had concerns about your child’s ability to connect or get along with other people, or their behavior); Family supports like child welfare services and home visiting;Economic security supports that help families make ends meet like the Child Tax Credit (or “child checks”), food and nutrition services, or diaper supplies.

What do you wish Members of Congress knew about what one or more of these policy areas or services means to your family. You can respond in writing or in a video response?

Submit a written responseLink to a video response

Share your written response, here

Please save your video, 1 minute or less, to Google Drive, Dropbox, or another file sharing platform. Set the privacy settings to enable us to watch it! Add your link here:

What programs or services has your family used or enrolled in to help support your family and child(ren)? Check all that apply.

Cash assistance	Child care assistance	Child Tax Credit monthly checks
Diaper banks	Early Head Start	Early intervention for children with disabilities or developmental delays
Engagement with social services or child welfare services	Food and nutrition services (WIC, SNAP or food stamps, food banks, breastfeeding services)	Help with housing or utilities
Home visiting	Infant and early childhood mental health services (i.e., counseling for your family or play therapy for your child, early childhood mental health consultation in a classroom, behavioral help for your baby or toddler)	Low cost or free health insurance for your children
Paid family or medical leave	Paid sick leave	Parent education class
Unemployment assistance	Other

Additional Information

Are you comfortable sharing your story with policymakers (by participating in a meeting with a lawmaker or their staff, or sending an email or calling their office)?

YesNot reallyMaybe!

Social media is a great way to reach Members of Congress. On what social media platforms can we count on you to promote Strolling Thunder?

Twitter	I'm not comfortable using social media.
Facebook	I don't have any profiles but I am willing to sign up!
Instagram	Other
TikTok

Please share your Twitter username.

Please share your Instagram username.

Please share your Facebook username.

Please share your TikTok username.

Please list any other social media usernames

Are you comfortable sharing your story with local or national media (such as an interview with a newspaper or TV station, or being featured in an article in a newspaper)?

YesNot reallyMaybe!

How did you hear about Strolling Thunder? Please note referring organization or other source.

If you come to DC, we want to help your Members of Congress get excited about your visit. Tell us one thing (or person or activity!) that your baby loves that we can share with your policymakers.

Upload a favorite photo of you and your child(ren) here (jpeg, jpg, png):

Upload a favorite photo of just your child(ren) under 3 here (jpeg, jpg, png):

If you have questions about the event, ask them here and we'll do our best to answer them.

If there are changes in CDC and/or local COVID protocols, we may need to hold meetings virtually. Would you still be interested in participating? 

Check here to agree to Terms and Conditions

Yes

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Check here to agree to our Strolling Thunder COVID policies

Yes

View Strolling Thunder COVID policies

By submitting this form, you are agreeing to receiving occasional promotional emails from ZERO TO THREE