Personal Signup form to join an Affinity Group
This Form is for individuals still looking for an Affinity Group to join Rebel Without Borders on the 7th of October and any other Extinction Rebellion (XR) Action. Use this form if you won't be able to join any ucoming Affinity Group Forming event or Non Violent Direct Action (NVDA) trainings.

For more info on Affinity Groups, see https://docs.google.com/document/d/1dRiaHXAxiX6C6m8Tq84WTHfrnlgFEedKynV1yC368DA/edit

This form is made by Google. It is on a private address and the data is not publicly available. The data won't be shared with any other party or for any other purpose than to make affinity groups.
Email address *
Phone number *
Your answer
Please fill in your name. *
This doesn't have to be your real name. It can be a nickname or anything you wish.
Your answer
Where do you live (city/village) *
Ideally we will form affinity groups based on location. That's not always possible though.
Your answer
Would you be willing to get arrested? *
Make sure to check your legal rights on the website --> https://extinctionrebellion.nl/en/legal-info/
Have you done a Non Violent Direct Action (NVDA) Training? *
We recommend everyone that wants to join the action to take part in a NVDA training to be properly prepared for the action.
Would you prefer to be in an affinity group with people in your age group? *
If you prefer to be in an affinity group with people in your own age, what's your age?
Your answer
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