SDC Registration Fall 2019
Welcome Friendly CREECHERS to the Amazing and Powerful weeklong Convergence for Peace in the Beautiful Nevada Desert! Thank you for joining us!

Please complete this registration form asap to enable the Shut Down Creech Team to best serve everyone's needs while we gather together to protect life and stop the drone killing.

***** IF YOU REGISTER AFTER SEPTEMBER 26, PLEASE CALL ELEANOR at 510.290.7071 ****

To find answers to questions you have about:

Housing and Transportation Programs & Activities
Camp Justice Sponsorship & Support
Meals

Please go to: www.shutdowncreech.blogspot.com

Then click one of the above tabs listed at the top of the first page on our website.

If you can't find your answers on our website, please email or call us. Contact info is listed on our website (blogspot).

With much gratitude, The Shut Down Creech Team

Email address *
First Name *
Last Name *
In what CITY do you live? *
In what STATE do you live? (Please provide the two-letter state abbreviation, e.g., CA for California, NV for Nevada, etc.) *
What is your cell phone number so we might contact you if needed while you are at or in transit to SDC? (Leave blank if no cell.) Please use the format: xxx.xxx.xxxx
Alternative phone number (e.g. home tel no) if available. Please use the format: xxx.xxx.xxxx
Please give us an emergency contact name *
Please give us the emergency contact cell phone
Please give us the emergency contact landline or other phone number
To which of the following organizations do you belong? (You may choose more than one.) *
Required
Optional: I belong to the below organization not listed above:
On what date do you expect to arrive at Camp Justice/Las Vegas. If unknown, please check NOT SURE. *
On what date do you expect to depart from Camp Justice/Las Vegas. If unknown, please check NOT SURE. *
Where do you expect to stay? *
I will have a car at Camp Justice or rent a car once in Las Vegas. I can provide rides to/from Camp Justice and to/from the airport, bus terminal, or train station.
Clear selection
I plan on staying in a Las Vegas Hotel. I can provide rides to/from Camp Justice and to/from a Las Vegas Hotel.
Clear selection
Do you have special needs/requests you'd like us to know about? As an example, do you have special dietary needs, allergies, or preferences? For example, are you allergic to gluten, dairy, tomato, onion? Do you prefer non-gluten, non dairy? (Note: All Meals will offer both vegetarian and vegan options only.) *
My special needs/requests are:
Are you able to make an extra donation to help cover our costs? (In addition to the $10/day donation we are requesting for food expenses) *
How did you learn about Shut Down Creech (SDC)? *
For first timers, tell us how you learned about SDC. Please be specific. For example, tell us the name of the organization or the person from whom you learned about SDC.
TRANSPORTATION FORM: Please complete the transportation form once you have registered, even if you are not sure of your exact plans. Thank you!!! *
SPRING 2020
Reminder: We will return to Creech AFB and Camp Justice in the Spring, 2020. Hope to see you then. The exact dates to be determined soon.
***** Once again, if you register after September 26, please call Eleanor 510.290.7071*****
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy