Peoples Climate March 2017 - Youth Convening RSVP Form
On Friday, April 28th, students and young people will gather for a convening the day before the PCM to talk about the role of young people in this political moment, take part in trainings and learn organizing skills, build relationships and share stories, and connect with other youth climate justice leaders from across the country.

An art build and registration is from 1:30-3:30pm, with programming from 3:30-8pm. A casual party with food and (non-alcoholic) drinks will follow. Please expect to stay for the whole time.

More details about the convening logistics and program are available here: youth.peoplesclimate.org/youth-convening

Make sure you fill out this form to secure your spot, but check out the Facebook event to see who else is coming! www.facebook.com/events/767241153438963

First Name
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Last Name
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Phone Number:
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Email
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School/Organization:
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City and State
Your answer
How old are you?
Your answer
Are you spending the night here at the church?
If you're over 18 years old, you can spend the night here. The church is asking for $5-15/person to help cover the cost, and we need you to sign a waiver.
Required
Liability Waiver
By completing this form, I indicate that I agree to hold harmless, release, and forever discharge Power Shift Network & People's Climate March and others from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I agree:
Photo Release
I hereby grant POWER SHIFT NETWORK (PSN), PEOPLES CLIMATE MARCH and affiliated organizations permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the PSN & PCM and others and will not be returned. I hereby irrevocably authorize the PSN & PCM and others to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears.
I agree:
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