Registration form for "Rebellion Commune" - Paris March 21th/22th

This form will take around 5' to complete, all the data are stored in Switzerland and will remain confidential. The action will begin on March 21st : you must be in Paris by Friday evening, the 20th, at the latest. If necessary, you can stay for free with other activists.

🤸What is your nickname / name?

It's up to you to choose how you want to be called.

📧 What is your email address?

It will allow us to send you practical information, advice and details before the event, and to keep you updated afterwards. It will not be shared or used anywhere else.

📱Do you have a Signal account?

Signal is an encrypted and open-source messaging application. It's our main communication tool. We strongly recommend that you install it. => https://signal.org/fr/download/ Yes = Oui No = Non

Oui

Non

⚙️ Beginner or experienced?

To give you a role you'll feel comfortable with, please choose between: Beginner (Débutant.e) - This is your first activist action, or you are still a beginner : we're so glad to see you here! Don't worry, you'll be part of a deployment team and will have a role during the action. Everyone is welcome! Experienced (Experimenté.e) - You are familiar with the principles of nonviolent civil disobedience : no need to have participated in an action before! We'll ask you a few additional questions related to specific roles.

Débutant.e

Experimenté.e

🏘️ Can you provide accommodation for people during the event?

A mattress on the floor, a place on a sofa, a room, a loft or even a private mansion that you could share with another person. Yes = Oui No = Non

Oui

Non

🗺️ What is your nationality?

This information allows us to inform you about your rights and ensure your safety during the action. French = Française European Union = Union Européenne Non-European Union = Hors Union Européenne

Française

Union Européenne

Hors Union Européenne

🚸 Are you an adult or a minor (18+)?

This information also allows us to inform you about your rights and ensure your safety during the action. Adult = Majeur.e Minor = Mineur.e

Majeur.e

Mineur.e

🤔 Do you have any ideas or skills for the action?

Languages spoken, activity ideas, contacts with public figures, etc. Yes = Oui No = Non

Oui

Non

📋 Do you have any specific needs?

Allergies, accessibility, Sign language, translation, etc. If you have specific needs to participate, please let us know, we will do our best to meet them. Yes = Oui No = Non

Oui

Non

🗼I understand that the action will take place in Paris.