Affinity Group registration
Thanks for signing up your Affinity Group! You will soon be approached for Rebel Without Borders.

This form is made by Google. It is on a private address and the data is not publicly available. The data won't be shared with any other party or for any other purpose than to communicate with your affinity group for Rebel Without Borders.
Name of your affinity group *
Your answer
Size of your affinity group ( number) *
Your answer
How many members of your affinity group are willing to get arrested? (number) *
Your answer
Name of your contactperson / representative *
Your answer
Phone number of contactperson / representative (number) *
Your answer
Name of wellbeing person (not required)
It's adviced to have one person in your affinity group that takes on a wellbeing role.
Your answer
Phonenumber of wellbeing person (not required)
Your answer
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