2025 - Mask Requests and Volunteer Interest

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What should we call you?
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AKA or nicknames are fine!

What are your pronouns?

Did you DM us on social media?
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Please DO NOT DM us if you haven't already. If you already did DM us, we want to match your form responses to the appropriate DM.

Example answer: "Yes, I messaged you on Instagram from the account @username."

How can we help you?
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I need less than 100 masks

I need over 100 masks

[Not able to take donations at this time, sorry!] I want to donate masks to Mask Bloc LA

I want to volunteer

Are you requesting/donating on behalf of an organization? If so, which one? If not, write N/A.

Please write the name of the organization you are representing.

You will be able to specify the number and types of masks you need in the next section of the form.

What is your phone number that we can text?
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Please format as ###-###-####. Example: 123-456-7890

Which location is closest to you?
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Mid-City

Westside

Southeast LA

Hollywood

SFV, Burbank, Glendale

Altadena, Pasadena, SGV

Ventura County

What are your access needs?
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For example, "I am a wheelchair user, so I need to be able to pick up my masks somewhere that is wheelchair accessible."

You will be able to specify the number and size of masks you need in the next section of the form.

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