Katrina 20: Local Committee Form
Please complete this form to officially join the Katrina 20 Local Committee. This planning committee is being convened by Taproot Earth to advance self-determination of the Gulf South frontlines in the 20th Commemoration of Hurricane Katrina. Please reach out to katrina20@taproot.earth with any questions.
Sign in to Google to save your progress. Learn more
Your Name *
Your organizational affiliation 
Are you representing an organization, non-profit, church, Mardi Gras krewe, or other group in this space?
City/ Town, State *
Email *
Phone Number  *
Do you commit to the following collective values (affirmed by the K20 Local Planning Committee):

- Move with mutual respect.  

-Be inclusive.

-Prioritize the voices of those who experienced Katrina. Follow the frontlines and local organizations.

-Be truthful, transparent, and willing to engage in open discussions.

-Build trust through collaboration and shared decision-making.

-We’re here to build power and organize. 

 *
Do you consent to be publicly listed as a member of the local Katrina 20 Planning Committee?  *
Do you want to join a Katrina 20 "work team"? If so, what work team do you want to join?
You can leave this question blank if you're unsure at this time. 
Clear selection
We need all of us! To join the planning committee, please invite one more person to this process:  *
That person's name:
That person's email: 
Questions or comments? 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Taproot Earth.

Does this form look suspicious? Report

Google Forms