Request edit access
Robe Reservation Application
Please complete this application in order to be eligible to participate in our robed actions in 2019. Completion of this application does not guarantee or entitle participation in our actions. Submission of this application means you are agreeing to being added (subscribed) to our e-mail list and are agreeing to be contacted both via e-mail and text message for actions/events. We will send rapid response alerts as problematic legislation moves through the legislative session, inviting you to take action with us; RSVP to events may or may not be required.
Email address *
What is your first name? *
Your answer
What is your last name? *
Your answer
Please list any other names you go by online and their location (i.e. @lizbfun - twitter). *
Your answer
What is your phone number? *
Your answer
Zip Code *
Your answer
What is your height? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service