Please fill out the information below so that we can contact you regarding a team of climate summer riders visiting your community in the summer of 2012! 

Name

Email Address

Phone Number

Community

State

Community Group?

I am part of an organized community group (this could include the local government).

Previously Hosted?

My community has previously hosted climate summer.

Specific Time?

I have a specific week of the summer when I would like the team to visit my community.

More Information ?

Please lay out any ideas you have for the team's visit to your community. If you checked any of the boxes above, please elaborate on them below.