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Rally For The Planet Registration Form
Please fill out this form if you are planning on attending the 2023 Rally for the Planet in Montpelier (from Montpelier High School to the Vermont State House) on April 14.
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Your Name
*
Your answer
Email:
*
Your answer
Phone Number:
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Your answer
School Name and Location:
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Your answer
Are you a:
Student
Teacher
Parent
Other:
Clear selection
Are you registering for yourself or for a group?
*
Myself
Small Group
School
Other:
If with a group, how many people are you bringing?
*
Your answer
List all home towns of students expected
*
Your answer
Name and contact info of Teacher interested in climate change work:
Your answer
Are you interested in meeting with one of your local elected leaders?
Yes
No
Clear selection
Is transportation an issue for you/your group?
Yes
No
Clear selection
Any questions?
Your answer
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This form was created inside of Vermont Energy Education Program.
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