7,500 Civic Acts Form - Freedoms Foundation at Valley Forge

Civic Acts Form

Your Contact Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Tell Us About Your Civic Act(s)

Please select the category (or categories) your civic act falls under:(Required)

Participation

Respect

Accountability

Productivity

Generosity

Please list participant(s) involved with this civic act. You can also upload a PDF of all attendees via the document upload below.(Required)

First and Last Name

Please describe the civic act(s) you (and/or your group) performed:(Required)

Photos and Documents

Photos and/or Documents of your civic act(s). (Not required but highly recommended.)

Drop files here or

Max. file size: 49 MB.

Do we have your permission to share the photo(s) via our social media platforms, website, and any relevant collateral material? This will allow us to demonstrate different acts of civic responsibility across the country.(Required)

YES, Freedoms Foundation may share my photo(s)

NO, Freedoms Foundation may NOT share my photo(s).

I did not attach any photos.