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#vote4dream 12/4 to 12/22
Participant Profile:
Any questions contact Maxima at
maxima.guerrero@gmail.com
Questions regarding travel contact Reyna at 480.430.9025
PS. You will need to bring sleeping gear: sleeping bag, matt, etc… we don’t have beds.
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Transportation
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I am good with transportation, see you in DC!
Im coordinating tranportation with Reyna
I need help coordinating transportation- Text Reyna (480.430.9025)
Other:
I am joining the caravan on week:
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12/4 to 12/8
12/11 to 12/15
12/18 to 12/22
Other:
Full name
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Your answer
Phone number
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Your answer
Email
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Your answer
City, State
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Your answer
Organization (If applicable)
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Your answer
Affiliation (Check all that apply)
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DACA
Student
Faith
Business
Parent
Other:
Required
*If DACA please insert expiration date
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MM
/
DD
/
YYYY
Are you over the age of 18?
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Yes
No- My parent/guardian is informed and approve me coming on this trip (Campaign coordinator must speak to parent before departure)
Emergency contact (Provide name, phone number, and relation) of at least 2 people
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Your answer
Please list any dietary restrictions
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Your answer
Please list any allergies you have
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Your answer
Please list any medical/medicine information
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Your answer
Which team/s are you interested in participating in while in DC? (Check all that apply)
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Bird-dogging
Drop-ins
Legislative visits/ meetings
Social media (Doing social media for campaign)
Required
Would you be willing to talk to media for interviews?
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Yes
No
Other notes coordinators should be aware of
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Your answer
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