West Baltimore Bus Registration
WE ARE VERY EXCITED THAT YOU ARE INTERESTED IN JOINING OUR BUS TO DC. On April 29th a broad movement of environmental and climate justice, labor, students, and social change organizations are coming together to demonstrate a continued and growing public demand for addressing environmental issues that affect us all. But, on the 100th day of the Trump Administration, we will be in the streets of Washington D.C. to show the world and our leaders that we will resist attacks on our people, our communities and our planet. We demand continued action on climate change, a new clean energy economy, good paying local jobs and safe and healthy communities for all. Get on the bus to DC on April 29th and join us in the resistance! Please complete the form below to reserve your seat on the bus, and to help us collect information about what OUR community looks like as we join the fight!
What is your FIRST name *
Your answer
What is your LAST name *
Your answer
What is your best contact phone number? *
Your answer
Will we be able to contact you at this number during the march? *
Which bus do you plan to ride on? *
What is your email address?
Your answer
What is your home address?
Your answer
What neighborhood do you live (or work) in? *
How old are you? *
Which of the following best describes you? (check all that apply) *
Never submit passwords through Google Forms.
This form was created inside of Communities United. Report Abuse - Terms of Service