Registration: March for Farmworker Justice
Thank you for your interest! Please fill out the form below (en español: http://tinyurl.com/marcha-justicia) so we know when and how you will be joining us during the March for Farmworker Justice from May 15th - June 1st. The purpose of registration is to collect basic information so we can be in touch with you. There may be follow up questions regarding logistics such as transportation. We will send more information about events for each day as we get closer. Thank you for being part of a historic movement!
Sign in to Google to save your progress. Learn more
Name *
Organization (if applicable)
E-mail *
Phone Number *
What is your twitter handle?
What day(s) will you be joining us on the March?
Towns are where the March begins. To see where each day's March ends, consult the following day.
On the days you marked, are you looking to participate in the full day, or part of the day? Will you need overnight accomodations?
You will receive a detailed agenda for the days you marked. Let us know what you are thinking to give us a sense of numbers. (A typical day will look like: Breakfast and Debrief 8-9am,  March 9-12pm, Lunch Break 12-1245pm, March 12:45-3pm, Afternoon Action and Break 3-3:30pm, March 3:30-5pm, Dinner and Evening Programming 6-8pm.)
Any dietary restrictions?
Any mobility concerns? For example, will you need to ride in the van for part of the March, or would you like a volunteer to push you in a wheelchair?
Anything else we should know? Any advice as we continue to plan the march?
I understand that the March for Farmworker Justice is a non-violent action. I agree to comply with directives from RMM staff and I understand that acts of violence, discrimination, use of drugs and alcohol, sexual harassment, and vandalism are strictly prohibited during the March and programs. In the case of injury during the March or programming I agree to hold Rural & Migrant Ministry blameless and to accept full liability. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms