Information Request Form

This form is for organizations and groups — local, regional and national in scope — to sign-on in support of the upcoming 'Block Cop City' Mass Action.

As the movement to Stop Cop City continues to grow, and the action to 'Block Cop City' approaches, we invite a diversity of organizations and groups to support: whether it be with outreach and recruitment, resources, planning, logistics, amplification and more. We hope to reach out and have a one on one with every group however due to capacity this may not be possible!

Please do not hesitate to reach out with questions, comments and ideas to blockcopcity@gmail.com as this is a living, breathing movement that pivots to address to the needs of various stakeholders and community voices.

Organization Name*

Brief organizational description:

Name of person filling out form:*

First NameLast Name

Your role/title

E-mail*

example@example.com

Phone Number that we can reach out to by signal (please download Signal app)*

How might your organization want to support? (It's fine if not clear yet and these checks are not hard commitments!)

Are there ways other than those listed above that your organization would like to support?

Anything else you would like to share or questions you want us to follow up with you on?

Supporting Org Sign-On