March For Our Lives: Registration

Please use this registration form to tell us as much as you can about how you can help us.

MARCH FOR OUR LIVES | STOP THE WAR AT HOME
AUGUST 30, 2004
UNITED NATIONS 45th St. & 1st Ave.
4pm
 
BUSHVILLE tent city
AUGUST 23-30
 
NY & NJ REALITY TOURS
AUGUST 23, 24, 25
  
click here to go to the main march page.

name:
organization (if any):
e-mail:
phone:
fax:
cell phone:
home city:
state (abbreviation):
What events are you registering for (Bushville, Reality Tours, March for our Lives)? Will you be staying at the Busvhille?:
how will you be arriving / do you need help with transportation?
tell us briefly about any special skills or connections you have / what you can help with:
have you participated in any previous actions with the Poor People's Economic Human Rights Campaign?
do you or any members of your group have any health conditions or disabilities that might require special accommodation on the tent city /march?
is there something specific that you need to be contacted about soon / how should we contact you?
please tell us anything else you think we need to know regarding your participation:
about how many other participants are you bringing (unregistered)?
marcher donation (total):
[Donations can be made online or by mail.]