Completing this form does not commit you to any volunteer or other involvement with CCAXRUS. It is simply information we will use to contact you by text, voice, or email if you are interested in being an activist rebel member of the CCAXRUS group. If you are not, we will not contact you any further. You are invited to follow CCAXRUS in social media (e.g., facebook, instagram, twitter, etc.) and on our web page and interact with us online.

Please note that we will not share your information outside the CCAXRUS group nor will we sell it to any media outlet, marketing group, or other services. Also please note that willingness to be arrested or to go to prison is not a requirement for membership. Rebel activists may fill essential workgroup roles where no such risks are involved.

In the "What's your story?" question, please include a brief statement about your Christ followership. You may link to an online denominational doctrine or creed, or simply write a brief statement in your own words. This is an optional question, and non-denominational answers are certainly acceptable.

Thank you!