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Alberta School Walkout Participation Form
Fill in your school's information so we have a tally of who and where people are participating from
* Indicates required question
Email
*
Record my email address with my response
Name of School Participating
*
Your answer
Where are you located??
*
Your answer
Name of Host/Group Organizing
*
Your answer
Is the Walkout on Social Media?
*
Yes
No
Other:
If yes to social media, please share here
Your answer
Do you have a rough estimate for how many students will attend? Will you share the total after the event takes place?
*
Your answer
Do you need assistance with organizing?
Yes
No
Maybe
Other:
Clear selection
Have you seen the rules and suggestions for participation?
Yes
No
Not Sure
Other:
Clear selection
Contact for media or collaboration:
Your answer
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