Gitmo 2012 Day of Action Survey

Thank you for signing up to participate in the National Day of Action Against Guantanamo, marking the 10th anniversary of the opening of the Guantanamo Bay detention facility. For more information go to www.nrcat.org/close_guantanamo

We need more than 2000 people to form a human chain connecting the White House with the Capitol. Sign up below to pledge to be part of NRCAT's contingent.

If you have any questions or technical problems in completing the form, please contact John Humphries, NRCAT's Director for Program Coordination, at jhumphries@nrcat.org or 860-216-7972.

1.Please tell us who you are and which congregation you are part of:(Required.)

Title (Ms, Mr, etc):

First Name:

Last Name:

Phone #:

E-mail:

Street Address:

City:

State:

ZIP/Postal Code:

Your Congregation:

2.Can you join us?
(Required.)

YES! I will be in Washington DC for the National Day of Action Against Guantanamo on January 11, 2012.

I can't make it to Washington DC on January 11th, but I will be hosting a solidarity event in my community.

I'm not sure if I can make it, but keep me posted about the plans and what I can do.

3.To reach our goal, we need everyone to help with outreach and recruitment. How many people do you think you can recruit from your congregation/community to come with you and join NRCAT's contingent in the line?

Comment/clarification?

4.Reception and Interfaith Service
NRCAT will be hosting a reception and interfaith service following the public witness. The gathering will be at New York Avenue Presbyterian Church, just a few blocks from the White House. We hope you'll plan to join us for hot coffee and cider, food, fellowship and worship. We are still working out the detailed schedule, but the space is available to us throughout the afternoon. Let us know if you can join us.(Required.)

Yes, I plan to come to the church after the public witness.

No, I won't be able to participate.

I don't know yet; please keep me informed.

If you will be coming with a group, please identify the group and estimate how many people. That will help us to have sufficient food.

5.The coalition of sponsoring organizations is also organizing buses from several cities in the U.S., and NRCAT has reserved a block of moderately-priced rooms for people who need to stay overnight. Tell us if you want additional information about some of these opportunities:

More information about transportation to D.C.

More information about housing in D.C.

More information about hosting a local solidarity event.

6.Do you have any additional comments or questions?

National Religious Campaign Against Torture
110 Maryland Ave NE, Suite 502
Washington, DC 20002
202-547-1920
www.TortureIsaMoralIssue.org