Signup Form
  • Membership Application

    To apply for membership please complete all questions. There is a 30 dollar annual membership fee if approved.
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  • Emergency Contact Information

    Please provide at least 2 emergency contacts.
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  • Questionnaire

  • Are you 18 years or older?
  • Are you ok with being contacted about upcoming events?
  • Are you willing to preform on the ground action ( Marches, community service, etc.)
  • Are you interested in information gathering?
  • Are you interested in phone banking?
  • Are you ok with having your picture taken/being used in the media at events?
  • Are you willing to attend group meetings
  • I understand that I am requesting a membership with Black Lives Matter Richmond VA with dues of $30 annually which may be subject to change upon notification. I agree to being contacted about actions based on my preferences.

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