Rider Form
Form for requesting space on The Rest Rail.
The Rest Rail is building a community that supports Black, Indigenous, and other activists and organizers of color with restorative vacation spaces donated by our movement partners.
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Email *
First Name *
Last Name *
Phone Number *
Did you participate last year? *
Which racial identities do you share? *
Required
Which sexual identities do you share? *
Required
Which gender identities do you share? *
Required
Which best describes your movement role? *
Required
Briefly describe your movement work. *
Include any organizations you're connected to, if applicable
How did you hear about The Rest Rail? *
Include names, if applicable
How many people are you seeking space for? *
Include how many beds and bedrooms you need
What location would you like to vacation in? *
City/town, state
What type of location would you like to vacation in? *
Required
How far are you able to travel? *
When would you like to vacation? *
Dates can be approximate!
How long would you like to spend on vacation? *
Describe any accessibility needs. *
What is something you would like to offer to The Rest Rail community? *
Required
What would you like to gain from participating in The Rest Rail community? *
Final comments / anything else we should know?
Submit
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