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Extinction Rebellion Sign-up Form
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Name *
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Postcode (First three/four characters)
Phone (please include a space)
In principle, would you be willing to:
Co-facilitate a workshop/training
Help with the campaign organisation
Get arrested
Go to prison for a short time
Take a support role
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Any comments you wish to say about your responses above
Are you involved in any networks or organisations?
Which working group are you interested in? More info on working groups here-
If you wish to help with organising, do you have any particular experience or skills?
Would you be interested in dedicating more time to Extinction Rebellion?
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Affinity Group Name (If applicable)
Which event did you attend? (If applicable)
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