Jax Hands Off Cuba Sign-Up Form
What is your name and pronouns?
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Do you have any social media accounts that you'd be okay sharing with us?
What other (if any) political organizations are you part of?
Are you willing to use or learn to use Signal? (Y/N)
As a Committee, Signal is our main method for coordination
What inspired you to join our effort to end the blockade of Cuba?
Do you have any connections to Cuba?
Yes
No
Please explain
What level of familiarity do you have of Cuban history, politics, etc.?
Asked for educational purposes, any level of understanding is okay
Are you against the U.S violating the rights of a sovereign nation (Cuba)?
Before joining, are you willing to have a virtual conversation with one of our members? (Y/N)
This is to ensure the safety of our current and former members
Submit
Should be Empty: