Anti-Racism Declaration of Action
We will use this information to learn and share what kind of actions are being taken. We will not share private or personal information.
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What is your name?
What is your email address?
Type of action I took (check all that apply):
Read and researched
Shared resources with others
Posted information on social media
Talked to children/youth (i.e. read a book/watched a film together)
Talked to my friends and/or family about racism and systems of white supremacy
Donated money to a social justice, anti-racism organization (recommend Black-led organizations)
Donated money to a bail fund for protestors
Divested and redistributed stolen land, wealth and resources (Visit Black Solidarity Fund CRC at:
or Sogorea Land Trust at:
Organized people to effectively contribute to anti-racist struggles
Donated material goods (food, supplies, etc.)
Donated/volunteered to a local business repair fund
Participated in a protest combating white supremacy
Supported a black owned business
Challenged my organization on their anti-racism work
Challenged local police/mayor’s office demanding policy change (Visit
Contacted my political representative to demand action
Signed a petition
Date I took action:
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This form was created inside of East Bay Agency for Children.