Freedom Fighters DC Fund

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Please fill out the form below to submit a criminal/bond referral or a request for financial assistance with protest-related emergency legal, medical, or other needs. This form is open to those in the DC/MD/Northern Virginia area. Please do not provide any information that may put you at risk as google forms is not 100% secured. If you have problems filling out this form, please email freedom.fighters.dc2020@gmail.com or call/text 571-210-2599.

First name *

Last name *

Email address

Phone number *

Amount needed *

Attorney representation

If you are being represented by an attorney, please provide us with their name and contact information. If you are not enter "N/A".

Emergency contact *

Please provide us with an emergency contact. Name and contact information.

Message

By completing this form I consent to my personal information being released to Freedom Fighters DC. I understand that Freedom Fighters DC does not guarantee your request will be paid, depending on the funds available to them. *

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