Please complete and submit this form to pledge your participation in this action on June 19, 2021. You will receive more information via email shortly.
Do you pledge to participate in #SayTheirNamesLive by going live on your social media platform(s) on June 19 (Juneteenth) to say the names of Black people killed by the police?
What is your first name?
What is your last name?
If you represent a company or organization, please enter its name and your role.
May I share public gratitude to you/your company/your organization for joining this action on my social media pages?
Yes you may.
No you may not.
Ask me later. I need to think about it.
Which social media platforms will you use to participate in #SayTheirNamesLive?
I'm not sure yet.
I will participate offline.
Please enter the URL or username of your Facebook personal or business page, if applicable.
Please enter the URL or username of your Instagram page, if applicable.
Please enter the URL or username of your YouTube Channel, if applicable.
Please enter the URL or username of your Twitter profile, if applicable.
Please enter the URL or username of your LinkedIn profile, if applicable.
If you have additional social media profiles that you will use for the #SayTheirNamesLive action, please enter them here.
#SayTheirNamesLive will take place ALL DAY on June 19 (Juneteenth). It is up to you what time you participate and how long you stream. We ask for names to be read for at least 10 minutes. Please enter the approximate hour of the day that you will go live on Juneteenth.
Please choose the list of names you would like to receive from #SayTheirNamesLives.
Send me the names of black people killed by police since 2013
Send me the names of unarmed black people killed by police since 2013
Send me the names of black people with mental illness killed by police since 2013
Send me the names of black children (18 and under) killed by police since 2013
Send me the names of black females killed by police since 2013
I'll create my own list of names to read.
Are you interested in helping to actively promote this #SayTheirNamesLives action to your email list and/or social media?
A copy of your responses will be emailed to the address you provided.
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