pdftest

Official Caucus Registration Form
FOR 2026 REGISTRATION USE
BPOUSenate District PrecinctParticipant Info
What role would you like to be considered for:
 DELEGATE CANDIDATE        ALTERNATE CANDIDATE        or        OBSERVER
PLEASE PRINT CLEARLY
Full Name
PhoneEmail
Address
CityStateMNZip
I am interested in becoming a (check all that apply)Year you were born
 Election Judge (see reverse for details)
 Poll Challenger (see reverse for details)
 Volunteer: Please call me for the following activites to advance the GOP cause:
 Fair Booth/Promotional Events
 Lawn Sign location
 General Clerical
 Get-Out-The-Vote Telephoning
 Work on local or statewide campaigns
 Fundraising
 Voter ID (door-to-door or phoning)

Please Sign here to signify you are general agreement with the principles of the MN GOP
NameDate
For use in Precinct AFTER ELECTIONS CONCLUDE
Please circle:Elected DelegateElected AlternateAlternate Rank _____
Precinct officer:Elected ChairElected Vice Chair Elected Secretary