Action Interest Form
We want to hold a rapid response action in DC in the next few days - but want to know if you can make it before we choose the day!
We will work to arrange housing and transportation, and there will be an action training where you can answer all your questions.
* Required
Name
*
Your answer
Cell Phone Number
*
Your answer
Email
*
Your answer
Preferred Gender Pronouns
*
He/Him
She/Her
They/Them
Other:
Required
Birthday
*
Date
How would you describe your Race/Ethnicity?
*
Black/African-American
Latino/Latina/Latinx
Middle Eastern
Native American/First Nations/Alaska Native
Pacific Islander/Native Hawaiian
Asian/Asian-American
White
Prefer not to share
Other:
Required
If you're part of a Sunrise hub, which one?
Philly
D.C.
Baltimore
Other:
If you'd be interested in attending an action in DC in the next few days, which days work for you?
Thursday, Oct 17
Friday, Oct 18
I don't think I could make it.
Would you be interested in risking arrest at this action?
Yes.
Maybe, I need more information.
No
Anything you think we should know?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Sunrise.
Report Abuse
Forms