Gimme A Brake "Light" Event Registration
Please use this form to add all registrations for the brake light event. Please fill all fields*
Email *
Name *
Number *
Name/ Make/Model/Year of vehicle *
I waive any liability to 482Forward, MI Liberation, New Paradigm for Education, New Paradigm Glazer Academy, for the Brake Light Clinic on October 2, 2021 *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mothering Justice.