• • WE CAN STOP KAVANAUGH! • • SATURDAY FINAL VOTE UPDATE
ADDED Friday: a sign-up for SATURDAY. Come to DC any way you can on Saturday, we're also working on a possible bus from NYC if we can raise the funds.

THIS IS IT. We've seen that all your work over the past weeks and months have made a difference, but now we need to come out in huge numbers. If you've been looking for the right week to call in sick, cash in those vacation days, THIS IS THAT WEEK. Build a group from your area, work to put together carpools/shared trips as much as you can, and sign up below. #WeBelieveChristine #BrettBye #SavetheACA #DefendRoe #WomenDisobey

JOIN US • Oct 3/4/5/6, 2018 • Washington DC • SIGN UP FORM BELOW

First name: *
Your answer
Last name: *
Your answer
YES, I can come to DC on SATURDAY
Email: *
Your answer
Mobile phone: *
Your answer
Can you participate in civil disobedience/risk arrest? *
What's your date of birth? (REQUIRED for civil disobedience and travel)
MM
/
DD
/
YYYY
Address:
Your answer
City: (Please specify which borough if in NYC) *
Your answer
State: *
Zip: *
Your answer
What *OTHER* state do you have some relationship with? (In case we need to hit key Congressional targets from sparsely-populated states) *
Do you have mobility/accessibility requirements, either during travel or during the action? If so, please be specific. *
Your answer
Can you drive yourself/others to DC? *
What group do you do most of your activism with? *
Required
Will you need help with lodging? All rooms will be either shared, dorm-style at a church/community center, or with local supporters. *
Please add me to the Birddog Nation activist list, so I'll get notifications when there are elected officials or candidates in my area who need to hear from me. *
Are we helping to book your travel? If so, please answer the questions below. Otherwise, scroll down to click submit, and stay tuned for details!
Are your travel dates flexible? If not, be specific: tell us what you need. ("Can't leave until 6 pm on the 4rd", "Home by 4 pm on the 5th", etc.)
Your answer
What's your closest airport/train station?
Your answer
If listed on your ID: what's your middle name?
Your answer
Are you traveling with others? If so, please list them here and we'll make an effort to keep your group together.
Your answer
Any comments or anything else we should know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms