Take Action Inc.'s Youth Activism Fair RSVP Form

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Name (first and last) *

Email *

Phone number

State, Country *

Age *

Which parts of the event will you most likely attend? You are, of course, are not required to stay during the entire event. *

Keynote Activist Speaker Session

Activist Panel

15-minute Presentations

2-5 minute interval performances/meditations

Personal Meet and Greet/Q&A/discussion in break out rooms

Required

How did you find out about this event? *

By clicking "yes," you agree to be respectful of this space. This means that we do not allow any form of racism, bigotry, intolerance, misogyny, discrimination, prejudice, or microaggression. This is a safe, inclusive, and anti-discriminatory space for everyone. Additionally, if you are under 18, you have a parent's/guardian's permission to attend and participate in event activities. Our event will be recorded to include videos in our social media and website, and you consent to being recorded (audio and video). If you "click" no, you will not be able to attend. If you have any problems with this, please include your concerns in the space in the next question. Thank you! *

Yes

Any accommodations, questions, concerns, comments, suggestions, or ideas? Please use this space if you would like to share anything else with us. Thank you, and we look forward to meeting you during the event.

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