---
title: "Registration"
url: https://streetmedsac.org/contact-us/registration/
description: "Archived registration page of Street Medicine Sacramento, kept as a historical record of the site's contributor sign-up."
---

# Registration

## Site Registration

Registering on our website lets us know who you are. It also gives you access to submit stories to our blog once we your review your information.

### Archived registration form

A record of the fields the original page asked for. It is not active and nothing can be sent from it.

- Your Name (required)
- Create a Username for this website (required)
- Your Email (required)
- Your Phone # (optional)
- Tell us about yourself and how you might be interested in helping us
- Do you want to contribute stories to our blog? If so, what can you write about?

## Record

**Original route**: /contact-us/registration/

**Page last modified**: 17 February 2016

**Recorded by**: Ted Fong

**Navigation label**: Registration

**Status**: Historical label only; no account can be created here