Political Committee Registration Form

Your Name, as Person Registering Committee (required)

Non-LAUSD Email (required)

Political Committee's Name (required)

Candidate or Candidates supported by Committee (required)

Committee Chairperson's Name (required)

Committee Treasurer's Name (required)

Committee's Street Address (required)

Committee's City (required)

Committee's State (required)

Committee's Zip Code (required)

Committee's Phone Number

I declare the above assignment information true to the best of my knowledge. (required)
Checking this box represents your e-signature