WESTERN MASS - BOSTON CLIMATE STRIKE TRANSPORTATION AND INTEREST FORM
On Friday, September 20th, a Massachusetts Climate Strike will take place in Boston (bit.ly/boston-climate-strike). This is a chance for people of all generations to come together and fight for the future of our humanity. We need anyone and everyone who can to skip school/work and show up in front of the statehouse.

***ALL WESTERN MASS RESIDENTS WHO PLAN ON ATTENDING PLEASE FILL OUT THIS FORM.***

We want to get as many people there as we can, but we know that sometimes transportation is tricky. Together, Sunrise Northampton and YCS are working to provide transportation to and from Boston for those who need it. Please be sure to complete the survey to let us know your situation, whether you can provide rides or are in need of one.

Most buses will be departing around 8 am and returning around 4:30 pm.

**We will email later to let you know if we are able to provide a ride for you**

For more information, check out the event facebook page: bit.ly/boston-climate-strike or follow @climatestrikema (instagram, twitter, facebook). DONATE TO THE STRIKE AT bit.ly/strike-donate

With any questions, please contact sunrisenorthampton@gmail.com
Name *
Your answer
Email *
Your answer
Cell Phone *
Your answer
Will you attend the strike in Boston? *
Age *
Are you interested in a seat on a chartered bus? *
(If interested in bus) ***What is your preferred departure location?*** There will be 2 buses leaving from Northampton, 1 bus from Greenfield, 2 buses from Pittsfield, 1 bus from Amherst, and 1 bus from Springfield Sci Tech High School, and 1 bus from Mount Holyoke College (that will potentially stop in Holyoke center).
(If interested in bus) What is your second choice for departure location, for if there is not enough room in your first choice?
(If interested in bus) We are not sure how much (if anything) we will have to charge. What is your financial ability to contribute to your fare?
(If interested in bus) How many are in your party?
(If interested in bus) I am over 18, and willing to carpool if the buses are filled:
(if interested in bus) Liability waiver / Permission slip Part 1.
(if interested in bus) Liability waiver / Permission slip Part 2: signature A **Please type your name**
Your answer
(if interested in bus) Liability waiver / Permission slip Part 3: signature B **If under 18, parent/guardian must type their name**
Your answer
Other questions or comments:
Your answer
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