Break Free from Fossil Fuels

Participant Registration -- Break Free Australia

Important links:

All the key logistical information like venue, accommodation, transport, program and logistics along with frequently asked questions can be found here.
You can book bus tickets, dorm beds, camping spots and pay your financial contribution here.
If you cannot make it on Saturday 7th of May but would still like to participate in the flotilla on Sunday the 8th please fill out this registration form instead.

Financial contribution and assistance.

We are asking all participants for a small contribution to the running costs of Break Free - this will go towards meals on the Saturday and Sunday, transport, creative materials and venue hire. The pay-scale is from $35 - $100 for the whole event. With 3 nights camping or a dorm room $25 per person.

You can make your payments and book a room here.

We appreciate not everyone can afford to attend an event like this - so we have some limited financial support available. Please indicate on the registration form if you require financial assistance.

Privacy:
The details in this survey will only be used for organising Break Free. We put a high priority on security. Click here to see the full Break Free Privacy Policy.

For any queries please contact: australia@breakfree2016.org

Register here:

First Name
Last Name
Email *
Zip/Postal Code *

Not in US?

United States

Phone *
City *
State *
Do you have experience participating in non-violent direct action? * Yes No
Planned arrival date (if you're making your own way there) * Friday 6th of May Saturday 7th of May by 9am for training Saturday 7th of May (after 5pm) Sunday 8th of May (just in time for the action) I'm going on one of the busses from a major city
Planned departure date * 8th of May (immediately after the action) Monday 9th of May (morning) Monday 9th of May (afternoon)
Accommodation preference * I will book to stay at Glenrock (when you finish this form we will direct you to the venue booking page) I will arrange my own I'm a Newcastle local and will stay at home
How will you be getting to the event? Driving myself I would like to join a carpool I would like a seat on the bus from Melbourne I would like a seat on the bus from Canberra I would like a seat on the bus from Brisbane I will be arriving by train/public transport
If you're driving, would you be able to offer seats in your car? If so how many?
I can: Drive a van from Brisbane, Canberra or Melbourne (must be over 25 and have a full drivers license)
Dietary requirements Vegan Vegetarian Gluten free Other (type below)
Other dietary requirements
Financial contribution (see left for more details) * I can cover my own transport costs and make a financial contribution I cannot make a financial contribution I would like a discounted ticket for the bus I would like assistance covering my travel costs
If you need financial assistance, please briefly outline your circumstances:
I can bring/lend the following: Kayaks Life-jackets Any other floating equipment or watercraft Marquees Banner materials Paint Flags and decorations Food donations
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Break Free from Fossil Fuels

Participant Registration -- Break Free Australia

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