Atlanta to Selma "Votercade" Attendee Registration Form

Atlanta to Selma "Votercade" Attendee Registration Form

Last Registration Day - September 27, 2024
Attendee Information

Please fill name and contact information of attendees.
Your Name*

First NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Will you be traveling with a guest?*

YESNO
Guest Name*

First NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Please specify any special accommodations you and/or your guest may need for the bus trip.
By registering for and attending the Atlanta to Selma 'Votercade' and 'Our Votes Matter!' Women's March, you acknowledge and agree that your participation is voluntary and at your own risk. In signing below, you hereby release and hold harmless 20 Million Women Strong, its leaders, employees, agents, and affiliates from any and all claims, demands, damages, or liabilities of any kind arising out of or in connection with your participation in the bus trip and event, including but not limited to any unforeseen incidents or accidents. Please sign below to indicate your agreement to these terms.
Signature*

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Payment Methods

Debit or Credit Card

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Attendee Information