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Solidarity Pilgrimage Registration Form
Thanks for organising a pilgrimage in your community!
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* Indicates required question
What is your name?
*
Your answer
What is your email address?
*
Your answer
Where are you located? (City/town/county, Province)
*
Your answer
What day are you hoping to organise a pilgrimage?
*
Friday, May 9th
Saturday, May 10th
Sunday, May 11th (Mother's Day)
Monday, May 12th
Other:
Required
What sort of pilgrimage are you planning?
Walking
Running
Cycling
Armchair Pilgrimage
Other:
Clear selection
What time will your pilgrimage start?
*
Time
:
AM
PM
What time will your pilgrimage end?
Time
:
AM
PM
Where will your pilgrimage start and end?
*
Your answer
Please provide a brief description your pilgrimage route. (e.g. estimated distance and duration of walk or ride, what sort of terrain is it on, how accessible, level of difficulty, any natural landmarks of interest, etc.)
Your answer
Do you have an estimate as to how many people will be participating? (and if it's just you, that's ok too!)
Your answer
Are you comfortable if we include your pilgrimage on a map on our webpage (which will be publicly available), so that other people in your community can learn about your pilgrimage and join in? (no worries if not!)
*
Yes, I am comfortable with that
No, I am not comfortable with that
I am unsure but will reach out to
pilgrimsfortheplanet@gmail.com
with questions about this!
Do you plan to use the
Pilgrimage Guide
prepared by our team, available on
our webpage
?
Yes
No
Clear selection
If you've looked at the aforementioned
Pilgrimage Guide
, do you have any questions or feedback you'd like to share?
Your answer
Are you interested in sending us pictures from your pilgrimage so that we can share them online?
This is totally optional. If taking pictures to be published online, please make sure that everyone in the picture has given their consent for the picture to be shared publicly online.
Yes
No
Clear selection
Do you have any questions, concerns, comments etc. for us? Is there any way we can help support you and your pilgrimage? (Feel free to email us any time at
pilgrimsfortheplanet@gmail.com. We'd love to be in touch!)
Your answer
Would you like to receive updates from the Climate Justice Committee about future projects?
Yes, please!
No, thank you.
Clear selection
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