Join the Rebellion

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Join the Rebellion

Thanks for your interest in Extinction Rebellion.
Please complete the form to stay updated and be informed on how to get involved.

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Part 1: Personal details

Part 1: This information will enable us to get in touch

1.1 First name: *

1.2 Last name: *

1.3 Email address: *

1.4 Phone number:

1.5 Which communication platforms do you have access to? (This will help us to structure effective communication methods) *

Facebook

Twitter

Instagram

SMS

Telephone

Other

None

Obligatorisk

1.6 Where are you physically located? (city/town) *

1.6.1 If in a city or big town, please state your suburb

Part two: Becoming a Rebel

Part 2: This information will enable us to arrange for Introduction and Induction gatherings in your area

2.1 Are you willing to attend information and induction sessions?

Yes

Maybe

Rensa markering

2.2 Do you have access to or can you contribute any of the following to induction sessions:

A venue (up to 20 people)

A venue (up to 50 people)

A venue (up to 100 people)

A venue (up to 200 people)

Sound and/or presentation equipment

Film production and/or editing

Vendor/provider of planet-loving food

Donations for such an event, to cover transport costs of team members and rebels who want to join

Music (live performer, band, DJ) and poetry

None, I would rather first attend an introduction gathering

Övrigt:

2.3 Do you have access to or connections with:

Local artists or celebrities who would be interested to promote the cause

Local academics and professional solution-focused people or networks (speakers)

Local activists groups/NPO/NGO

Local communities or groups organised around regenerative discussions

Political or governmental influence

Connection with local or international press or media

Other (please elaborate below)

None, I would rather first attend an introduction gathering

2.3.1 Please elaborate on 2.3 if chosen "other"

Part three: Participation at actions

Part 3: At this stage we are joining forces with other activists groups at their public appearances. In the near future we are planning some small but effective XR appearances, building up to mass actions in the next year

Would you like to participate in our non-violent direct actions? *

Yes

Maybe

Part four: Participation in organising and strategising?

Part 4: Some of you might be ready to form part of the organising and structuring of the movement, this part is for you

4.1 Would you be interested in helping with organising and/or strategising?

Yes

Maybe

Rensa markering

4.2 Which of the following working groups interests you? Please choose maximum three and list them in priority (one choice is even better!)

Action & Logistics

Community

Talks and trainings

Media and messaging

Regenerative culture

Arts

Tech and security

Legal support

Research

Finance

Political

Self Organising Systems

4.3 How much time are you able to make available?

Once a month for actions

1 to 10 hours a week

10 - 25 hours a week

25+ hours a week

40+ hours a week

Other (please give detail below)

Rensa markering

4.3.1 If specified "other" in 4.3, please indicate the time or input you can provide

4.4 Any further comments about how you’d like to get involved?

By ticking the box, I give my consent to Extinction Rebellion SA (XR SA) to get in touch with me using the information I have provided in this form, for the purpose of connecting me to XR SA activities. I also give permission for XR SA to share the data I have provided with other local, national and international XR groups which are relevant to me. *

Yes

You are entitled to request to have your data removed from our systems at any time.You can do this by clicking the unsubscribe link at the bottom of any email we send. We value and respect your personal data and privacy.

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