REGISTER YOUR 2026 NLAAD EVENT Thank you for being part of NLAAD 2026 and helping advance the fight to end HIV. This form has two parts: questions 1-12 collects information about your event, and questions 12-13 should only be completed if you are requesting HIV testing kits. Once your event is registered, it will be posted on the NLAAD website. If you have any questions, please contact kescamilla@latinoaids.org. Question Title * 1. Event Name Question Title * 2. Contact Person Name Title Organization Address City State Zip Code E-mail Phone Number Question Title * 3. Host Organization(s) (You can add up to 3 partner organizations) Your Organization Partner Organization 1 Partner Organization 2 Partner Organization 3 Question Title * 4. Instagram Handle (username) of your Organization and Partners Your Organization Partner 1 Partner 2 Partner 3 Question Title * 5. Type of Event? Check all that apply HIV Testing Event STI Testing Event Informational table or booth Mobile Testing Unit Food Festival Cultural Event Food Pantry Entertainment Show Religious Service/Event Media Event Webinar In-Person Workshop Other Question Title * 6. Event Description Question Title * 7. Event Date and Start Time. (If the event last several days, fill out one form for each day) Date / Time Date Time AM/PM - AM PM Question Title * 8. Event Location (If hosting a virtual event, write N/A in all the boxes) Name of venue Address City State Zip Code Question Title * 9. Upload your Event Flyer (if you have one; if not you can email it later) Question Title * 10. Are You Providing HIV Testing at Your Event? Yes No Question Title * 11. Are you Referring People to Preventive/Treatment Services? Yes No Question Title * 12. Is This Your First NLAAD event? Yes, this is our first NLAAD event No, we have hosted NLAAD event(s) previously Requesting HIV Tests OraSure is donating HIV test to organizations in need. The test provided is OraQuick ADVANCE HIV 1-2 Rapid Antibody Test. Only 1 kit (25 tests) per event is available. OraSure will ship the kit directly to the contact person in question 2 of this form. Supplies are limited, so please request kits only if they will be used during your NLAAD event. Submitting a request does not guarantee you will receive the kit. Question Title * 13. Do You Need the Donation of HIV Tests for Your Event? Yes No Question Title * 14. If Yes, Provide your CLIA Waiver Number Done
