Coalition Signup Form

Join The Coalition for a Regenerative Future - Individual
Please ONLY fill out this form if you are joining The Coalition as an individual. If you are looking to join The Coalition on behalf of an organization, please find that form here.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
What gender do you identify with?

Other
Which category below includes your age?
What race do you identify with?

Other
What ethnicity do you identify with? Select all that apply.

Other
Which of the following working groups are you interested in joining? We currently have four active groups. You're welcome to join more than one! Working groups typically meet once a month. Members of working groups are able to dig into the work of specific challenges facing Colorado.
Do you know of any other coalitions or organizations doing this work? Our model is based on collaboration, and we would love to work with them. If so, please list the organization and contact information below.
The Coalition for a Regenerative Future runs on a "Pay what you can" model. The suggested amount for an individual yearly subscription is $500, however, you are welcome to contribute more or less based on your budget.

If you are unable to make a contribution at this time, please reach out to our staff at coalition@afca.earth. We will soon have scholarship opportunities available.
Please type the amount you are able to pay. A member of our team will follow up with you to collect payment.

Join The Coalition for a Regenerative Future - Individual