Register for Freedom Challenge 2017

Please complete this form to register and order your resources for Freedom Challenge

Question Title

* 1. Name of Youth Group / School

Question Title

* 2. Number of members in your group?

5-11

11-20

21-50

76-100

101+

Question Title

* 3. Postal Address of School

Name

Address

Address 2

City/Town

ZIP/Postal Code

Question Title

* 4. Teacher Coordinator Details

Name

Email Address

Question Title

* 5. Student Coordinator Details

Name

Email Address

Phone Number

USE OF PHOTO PERMISSION
I give Amnesty International permission to use my photograph and details for future promotional activity (i.e. newsletters, publications, social media, website, videos). I also give permission to Amnesty International to release my photograph to third parties (i.e. newspapers, television networks)

Question Title

* 6. Photo permission

Yes

YOUR RESOURCE REQUIREMENTS
We will do our best to meet the numbers that you request, but please note we do have limited supplies of all resources.

Question Title

* 7. How many Amnesty International badges do you require?

100

150

200

Question Title

* 8. How many Amnesty International stickers do you require?

100

200