JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pilgrim Anti-Racism Pledge
Your email address will not be shared outside of Pilgrim Church.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please fill out the form below:
Name:
*
Your answer
Are you ready to sign the anti-racism pledge?
*
Yes.
Yes, but I have a question or comment.
Not at this time. However, I have a question or comment.
No.
If you have a comment or question, please use the space below.
Your answer
Would you like someone to contact you ?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pilgrim Congregational Church.
Report Abuse
Forms
