2019 MLK March for the Dream Group Sign Up Form
We are so excited to have you participate in our event this year. Please tell us about your group. If you have any questions please email us at santacruznaacp@gmail.com.
Email address *
ORGANIZATION INFORMATION
Organization/Business Name *
Your answer
Address 1: *
Your answer
Address 2:
Your answer
City/Town: *
Your answer
State/Province *
Your answer
Zip/Postal Code: *
Your answer
CONTACT INFORMATION
Contact Name *
Your answer
Contact Phone *
Your answer
Contact Email *
Your answer
TYPE OF ORGANIZATION
Chose one from the list: *
GROUP PARTICIPATION INFO
Estimated number of individuals from your organization who will participate in the March
Your answer
Describe your group's mission *
Your answer
REQUIRED FORM
All groups are required to fill out the WAIVER OF LIABILITY, RELEASE,
ASSUMPTION OF RISK AND INDEMNITY AGREEMENT as it is a requirement from the city. Your group will not be able to participate unless we have a form signed by a representative from the group before the start of the event. You may return the form one of three ways: 1.) email your form to amanda@santacruzindivisible.org by 1/18/19; 2.) drop them off at SCPD Lobby on 155 Center Street. Lobby open Monday - Thursday 9am -4pm & Friday 10am - 3pm by 1/18/19 or 3.); hand it in when you show up to volunteer at the event on 1/21/19. https://docs.google.com/document/d/1wJzQNjcLZr7lVgz4tnIQCljBGwrlz8mmPD4vHU-hsRY/edit?usp=sharing
I have a copy of the form and I will be:
The MLK March is co-sponsored by the NAACP Santa Cruz County Branch and Santa Cruz Police Department
A copy of your responses will be emailed to the address you provided.
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