ARJC Individual Interest Form

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Thank you for your interest in the Athens Reproductive Justice Collective! Filling out this Google form will signify your acceptance to membership, but you are free to discontinue your membership at any point in time with prior notice.

What is your name? *

What is your preferred email address? *

What is your phone number? *

Do you agree to... *

Attend a monthly meeting with all other members of the collective

Engage, participate and be willing to have a collaborative mindset

Required

Optional question: Is there anything we can be doing for you in regards to the collective's work?

Optional: Use this space to share any ideas/thoughts/questions/concerns regarding your membership or AJRC's objectives.

I acknowledge that by filling out this form I am agreeing to become a member of the Athens Reproductive Justice Collective. *

Yes! (We look forward to working with you!)

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