60th MLK Freedom Walk Form

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First Name *

Last Name *

Email *

Phone *

Address

City

State

Zip *

Organization

Age Range *

Are you a member of the NAACP *

Are you planning on walking for freedom?
*

Yes

Required

Are you interested in updates?
*

Yes

Other:

Required

Are you interested in volunteering?
*

Yes

Other:

Required

Are you interested in volunteering as a group/organization?

If you are planning to volunteer as a group select "Yes". Jermaine Peguese would reach out to you or you can email him at jpeguese@detroitnaacp.org for easier assistance.

Yes

Clear selection

Did you attend the 1963 Detroit Freedom Walk?

If you have any pictures or stories you would like to share from that march, email them to Lhenry@detroitnaacp.org.

Yes

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