Open Rescue Agreement

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All fields marked with * are required.

I have carefully read the above agreement and fully understand its contents. I am aware that this is a release of liability and a contract, and I sign it of my own free will. *

Personal Information

Full Legal Name *

Pronouns

Date of Birth *

Phone Number *

Email *

Address

Street Address *

City *

State *

Zip Code *

Risk Level & Training

What level of risk are you most interested in? * Select one.

Note: Due to training requirements, we cannot guarantee placement on a Red or Yellow team at this point. Green team spots are still available.

I understand that mandatory in-person NVDA training in Madison begins in the evening on Friday April 17. *

Emergency Contact

Contact Name *

Relationship *

Contact Phone *

Under what circumstances should we contact them? (optional)

We will add you to the Simple Heart Substack to get regular updates about upcoming rescue efforts. Do you also consent to us sharing your email with coalition partners, including Direct Action Everywhere, Animal Activism Collective, and the International Council for Animal Welfare? *

YesNo

Additional Information (optional)

Medications & doctor contacts

Unresolved legal charges and jurisdictions

We plan to go “jail, no bail” as the civil rights activists did, though most activists should be released within 2 business days. Do you have special bail needs we should be aware of? While we cannot commit to meeting these needs, we will do our best—and you are free to independently bail yourself out.

Bail needs description

Preferred snack

Preferred people to work with

The power of any future actions requires as much mobilization as possible. We suggest you consider adding three names and emails of three people you think might be a good fit for upcoming actions. Reach out to them and ask them to join an action!

Candidate referrals (full name + email/phone)

Both Signal and WhatsApp are required for team coordination.

Install them before signing up: Signal · WhatsApp

I have both apps installed *

Your information is stored securely and will only be used for organizing the rescue action.