Get Uncomfortable Campaign Pledge

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

GET UNCOMFORTABLE: A campaign to disrupt racism on and off the ice and make hockey welcoming for EVERYONE

Black Girl Hockey Club invites you to join the Campaign and TAKE THE PLEDGE BELOW!
"I pledge to disrupt racism on and off the ice and make hockey welcoming for EVERYONE"

NOTE: information collected here will not be shared with any 3rd party or used for any purpose other than to follow up with you regarding the Get Uncomfortable Campaign. By signing up, you grant BGHC and it's designees permission to follow up with you about the campaign and include you as a campaign supporter.

I pledge to disrupt racism on and off the ice and make hockey welcoming for EVERYONE *

Yes

First Name *

Last Name *

City *

State/Province *

two-letter abbreviation (if applicable)

Country *

Email Address *

please double check it to make sure it's correct!

Phone Number

PLEASE INPUT WITH DASHES (i.e. xxx-xxx-xxxx)

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms