ACTION REGISTRATION

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

ACTION REGISTRATION

Call to action - please join us for a rally and action the first day of the 2023 New Mexico Legislative Session.

Join hundreds of youth and allies as we rally and demand urgent action on climate this session. Invite your friends to participate and join us as we show our collective power.

We’ll be at the roundhouse in Santa Fe from 12 to 2 pm demanding better for our communities and our future.

CALL TO ACTION:

1) First Name *

2) Last Name *

3) Are you a: *

Young Person

Adult ally (skip to question 7)

Required

4) School

5) Grade

6) Do you need a permission slip?

Yes

Clear selection

7) How are you coming? *

With friends

With my family

With my school

With an organization/group - Please share which group below

Other:

Required

8) If you are coming independent of a school, how many people are you bringing?

9) Cell Number *

Email *

Social Media Handles

YOUR PARTICIPATION

We are so grateful for your participation. When we stand together - we can accomplish great things. We are hopeful that together we can push for and win meaningful climate justice action by our lawmakers this year!
Below please let us know how you plan to participate.

Are you coming to: *

The event the night before: January 16th 4:30-7PM ON ZOOM MLK Day Climate Justice & Energy Democracy Convergence - register at https://us06web.zoom.us/webinar/register/WN_E9fUqfLbSvysmgmXmryhNQ

Teach-In before the action 10-11AM in Senate Committee Room 303 at Roundhouse

*******Action at the Roundhouse 12-2PM - Meet outside the East entrance

Required

As part of the action - we'll be doing a die-in. We are asking EVERYONE WHO ATTENDS THE EVENT to wear black or red to the action. We also invite action participants to be a part of the die-in (laying down on the ground for 8 minutes - representing the 8 years we have left according to scientists to reverse our emissions and stop burning fossil fuels) which will be a a focus for press and action dissemination. Can we count on you to be part of the die-in? *

Yes!

No thanks - happy to help in other ways

If you need me, but if you have enough people I'd rather not

Anything you want to share about yourself and why you are coming? *

Thank you!!!! We'll be in touch to coordinate! Feel free to share this registration with family and friends - Facebook Events:
https://fb.me/e/2v1Qk8Zpr
https://fb.me/e/4aEwfvxJZ

Submit

Clear form

Never submit passwords through Google Forms.

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

Does this form look suspicious? Report

Forms