Become a Dane County Climate Ally
Fill out this short form to become a Dane County Climate Ally.

Together we will accelerate climate action across Dane County!

Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Please provide your address (We won't ever share this. We ask for your address in case we want to mail you a thank you gift - it's more fun if we can surprise you.)
If you plan to coordinate your Ally efforts with others from your work, place of worship or neighborhood, please describe here.
What kinds of Climate Ally activities are of interest to you? *
Very Interested
Somewhat Interested
Not at All Interested
Sharing information about what I've done
Helping friends or family be greener
Encouraging other households to take action
Encouraging local governments to act
Encouraging local businesses to act
Participating in public events
Congratulating entities who demonstrate climate leadership
Other
Tell us a bit about your climate efforts
I've done this
I plan to do this
Doesn't apply to me
Seek out information on climate issues
Home energy audit
Insulation and air sealing at our house
Energy efficient appliances
Solar energy system
Buy green power from utility
Bike or walk more than I drive
Use mass transit when available
Drive a hybrid, EV or CNG vehicle
Reduced meat consumption
Vegetarian or vegan
Avoid excessive packaging
Compost regularly
Encourage friends to be green
Other
Clear selection
What else have you done or thought about doing?
Anything else we should know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy