Request edit access
SC Community Coalition Communication Sign-Up
Welcome to the sign up form for SCC Coalition of community orgs, residents, local businesses, and govt offices.
LIKE and Share the Facebook Page and stay on top of the news
DONATE IF you can, support the projects by donating
To Make Personal Protection Equipment
To support the South Bay Community Food Pantry
Volunteer your time and talent if you can
If you have any questions please contact us at email us at
and remember to add the email the contacts list.
Mobile Phone Number
Address: # and Street
If you would like to receive Whatsapp Messages for Immediate Updates, please join
Have you liked the Facebook Link
OPTIONAL: How do you identify your Race
Option al: Tell us your age group
OPTIONAL: Emergency Contact Name, Relationship, Phone Number
How can you help if needed:
Promoting the information to your membership
Sharing with your friends
Help with online social media communications or digital work
OTHER (enter info in comments)
How did you hear about this
A Coalition Org
The Coalition Facebook Page
I agree to subscribing and receiving notifications and Whatsapp messaging group, if I added myself to it. I take responsibility for reviewing the information and deciding for myself to apply it or not. I release the coalition and its partners of any liability or responsibility. (Please add
to your email contacts list)
Yes I agree
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service