Coalition Member Registration
A coalition is an alliance or union of distinct factions that join forces to achieve a shared goal. The Goal is collective liberation, love and access to food, housing, pleasure, health, etc for marginalized indigenous and melanated communities
Full Name
*
First Name
Last Name
Preferred Name
Pronouns
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Location (City, State/Country)
Instagram Handle
Do you believe in matriarchy?
Yes
No
Not Sure
Do you believe in capitalism?
Yes
No
Not Sure
Gifts, Strengths, or Diagnoses
Attachment Style
What are you willing to give, sacrifice, or barter for community?
Values / Guiding Principles
What do you need from community?
What is community to you?
What is your purpose or Soul's Mission?
What do you stand for?
Preferred Contact Method
email
Phone Call
Text
In Person
Register
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