JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RISE Houston | Interest Form
Are you ready to re-imagine safety for everyone in Houston?
Fill out this form to stay up-to-date on our campaign and learn about upcoming events/direct actions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
Are you okay with us texting you occasionally about campaign events?
Yes
No
Other:
Clear selection
Which of our demands are you most interested in/passionate about?
Check all that apply
Scrapping ShotSpotter
Freezing HPD's Budget
Getting Police Out of Traffic Stops
Are there other policing-related issues in Houston that you want to lift up or fight against?
Fill us in!
Your answer
Do you have any questions for us?
We are all ears
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Civil Rights Corps.
Report Abuse
Forms