Action Network

IoS Birmingham July 10th

Crew Signup

Not in the US?

Where are you based? *

Preferred Role *

Unfortunately we can only accept First Aid crew who have a current certificate. If you don't, please select Wellbeing as a role instead.

Lead Steward (leading small team of Stewards) * Yes No

Stewarding Skill Level * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have a Pink Stewarding Vest * Yes No

Roadtaking Skill Level * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have Yellow Roadtaking Vest * Yes No

Action Wellbeing Skill Level * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have a Dark Blue Action Wellbeing Vest * Yes No

Deescalation Skill * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have White Deescalation vest * Yes No

First Aid Certified * Yes No

First Aid Certificate Expiry Date *

First Aid Skill Level * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have a Green First Aid Vest? * Yes No

Action Outreach Skill Level * None Basic (attended training) Experienced (done this a few times) Expert (Happy to train others)

Have a Purple Action Outreach Vest * Yes No

Anything else to tell us

I give my consent to Extinction Rebellion to get in touch with me using the information I provide, for the purpose of news, actions and requests for volunteers and donations. Data processed in accordance with our Privacy Policy * I agree

Opt in to updates from Action Support

Sponsored by: Action Support