JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SURJB You Can't Hide Behind Your Flag Contingent 9/15/21
“Back the Blue” claims to be an “apolitical” stance despite developing in opposition to Black Lives Matter. At America Backs the Blue rallies in different towns, attendees have attempted to strike opposing demonstrators with flagpoles and shouted racist comments at passing Black drivers. Demonstrate that hate is not welcome in West Roxbury and Massachusetts.
meet up point: Holy Name Parish Church at Holy Name Rotary, across from 1698 Centre Street
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Pronouns
Your answer
Phone Number
*
enter your number without dashes
Your answer
I have downloaded Signal, the free encrypted texting app
*
Yes
No, but I will after I submit this form
I am a:
*
SURJB Active Member (have completed a base group and/or show up consistently to internal working group meetings)
SURJB newsletter/social media follower
Not sure how I got here but I'm glad!
Other:
Required
I commit to attending on 9/15
*
Holy Name Parish Church at Holy Name Rotary, across from 1698 Centre Street
Yes, and I can meet up with the group at 4:45pm
Yes, but I can only arrive at or after 5pm (say what time in other box)
No, I cannot attend
Other:
Required
I want to attend a pre-action info session on zoom
*
max 45 minutes
Monday, 9/13, 7:30pm
Tuesday, 9/14, 5pm
I want to attend an info session but neither time works for me
I don't want to attend a pre action info session
Required
Do you need a ride?
*
Yes, I can only come if I get a ride
Yes, but I can take transit or Lyft if I need to
I can drive myself and other people (masks on in the car, vaccination required, windows cracked)
No, I'm good with making my own way
Anything else we should know?
allergic reactions we should know about, do you need a folding chair to sit on, do you have a service animal, etc
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms