START-Human Trafficking Community Conversation Registration

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* 1. Name (first and last)

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* 2. Business Name (if applicable)

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* 3. Mailing Address

PO Box/Street address

City

State

Zip Code

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* 4. Phone Number

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* 5. Email address (to send Zoom link invitation to for the event)

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* 6. Do you consent to receiving mail, emails, or text messages related to supporting local efforts to end Human Trafficking?

Mail

Text Messages

Emails

No, thank you

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* 7. Why are you interested in this event?

To better understand the realities of Human Trafficking in our communities

To better understand the efforts happening in our community to end Human Trafficking

To better understand and gather resources for survivors

To understand what I can do to address/end Human Trafficking

To influence the work that I do

Other (please specify)

Gridshock is a documentary film about Human Trafficking. The film features survivors of sex trafficking, local and federal law enforcement, advocates, politicians, and a recovering sex addict. Some if the content may be difficult to watch and viewers should use discretion. Advocates will be available before, during, and after the film for anyone needing support. Please call Rape Response Services at 1.800.871.7741 or Partners for Peace at 1.800.863.9909

Thank you for joining us!