www.weareplannedparenthoodaction.org
Open in
urlscan Pro
45.60.33.183
Public Scan
Submitted URL: https://progressiowa.actionkit.com/go/92294?t=1003&akid=42952.215193.IIeR_x
Effective URL: https://www.weareplannedparenthoodaction.org/a/solidarity-circle-sign-up
Submission: On July 15 via api from BE — Scanned from DE
Effective URL: https://www.weareplannedparenthoodaction.org/a/solidarity-circle-sign-up
Submission: On July 15 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
POST v1
<form class="clearfix" method="post" novalidate="" action="v1" accept-charset="utf-8" autocomplete="on">
<div class="at-markup FastAction" id="NVSignupForm1910812-FastAction">
<div class="fastaction-block">
<div class="fastAction clearfix">
<p>
<span class="fa-cta">
<a href="#fastaction-login" class="profile-link" aria-label="FastAction">
<img class="profile-link-fa-image" src="//static.everyaction.com/ea-actiontag/assets/images/fast-action.svg">
</a>
<span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
</span>
<span class="fa-lead"> Take future action with a single click.<br>
<a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a> or <a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a> for <i>Fast</i><b>Action</b>
</span>
</p>
</div>
</div>
</div>
<div data-name="undefined" data-subview="submit_view" data-subview-index="2"></div>
<fieldset class="at-fieldset ContactInformation" id="NVSignupForm1910812-ContactInformation">
<legend class="at-legend">Contact Information</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVSignupForm1910812-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVSignupForm1910812-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row at-row-solo Pronoun"><label class="at-select Pronoun" id="NVSignupForm1910812-ContactInformation-Pronoun">Pronouns <small>(Optional)</small><select autocomplete="on" title="Pronouns" name="Pronoun" class=" "
id="NVSignupForm1910812-ContactInformation-Pronoun-select">
<option value="">- Select -</option>
<option value="5">(F)ae/(F)aer/(F)aers</option>
<option value="19">Any/All Pronouns</option>
<option value="6">E/Em/Eirs</option>
<option value="7">Ey/Em/Eirs</option>
<option value="2">He/Him/His</option>
<option value="18">He/She/They</option>
<option value="16">He/Them/Theirs</option>
<option value="17">Name Only</option>
<option value="8">Per/Per/Pers</option>
<option value="1">She/Her/Hers</option>
<option value="15">She/Them/Theirs</option>
<option value="9">Sie/Sie/Hirs</option>
<option value="10">Tey/Ter/Ters</option>
<option value="3">They/Them/Theirs</option>
<option value="11">Ve/Ver/Vers</option>
<option value="12">Ve/Ver/Vis</option>
<option value="4">Xe/Xem/Xyrs</option>
<option value="13">Ze/Hir/Hirs</option>
<option value="14">Zie/Zim/Zis</option>
</select>
</label></div>
<div class="at-row Genders SexualOrientation Race Ethnicity"><label class="at-select Genders multi-select" id="NVSignupForm1910812-ContactInformation-Genders">Gender <small>(Optional)</small><select multiple="" autocomplete="on" title="Gender"
name="Genders" class="select2-hidden-accessible" id="NVSignupForm1910812-ContactInformation-Genders-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="18">Agender</option>
<option value="51">Cisgender</option>
<option value="5">Gender Fluid</option>
<option value="6">Gender Non-conforming</option>
<option value="7">Genderqueer</option>
<option value="27">Intersex</option>
<option value="10">Man</option>
<option value="12">Non-Binary</option>
<option value="56">Not Listed</option>
<option value="16">Transgender</option>
<option value="17">Woman</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 262px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Gender" tabindex="-1">
<ul class="select2-selection__rendered">
<li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" role="textbox" aria-autocomplete="list"
placeholder="- Select -" style="width: 260px;"></li>
</ul>
</span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-select SexualOrientation multi-select" id="NVSignupForm1910812-ContactInformation-SexualOrientation">Sexual Orientation <small>(Optional)</small><select multiple="" autocomplete="on" title="Sexual Orientation"
name="SexualOrientation" class="select2-hidden-accessible" id="NVSignupForm1910812-ContactInformation-SexualOrientation-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="5">Bisexual</option>
<option value="21">Gay</option>
<option value="22">Lesbian</option>
<option value="25">Not Listed</option>
<option value="16">Queer</option>
<option value="24">Straight/Heterosexual</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 262px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Sexual Orientation" tabindex="-1">
<ul class="select2-selection__rendered">
<li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" role="textbox" aria-autocomplete="list"
placeholder="- Select -" style="width: 260px;"></li>
</ul>
</span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-select Race multi-select" id="NVSignupForm1910812-ContactInformation-Race">Race <small>(Optional)</small><select multiple="" autocomplete="on" title="Race" name="Race" class="select2-hidden-accessible"
id="NVSignupForm1910812-ContactInformation-Race-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="24">Arab American and/or Middle Eastern</option>
<option value="20">Asian American, East Asian, South Asian, and/or Southeast Asian</option>
<option value="21">Black, African, and/or African American</option>
<option value="3">Caucasian or White</option>
<option value="23">Hispanic and/or Latina/o/x</option>
<option value="22">Native American and/or Indigenous</option>
<option value="5">Native Hawaiian</option>
<option value="25">Not Listed</option>
<option value="7">Pacific Islander</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 262px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Race" tabindex="-1">
<ul class="select2-selection__rendered">
<li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" role="textbox" aria-autocomplete="list"
placeholder="- Select -" style="width: 260px;"></li>
</ul>
</span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-select Ethnicity multi-select" id="NVSignupForm1910812-ContactInformation-Ethnicity">Ethnicity <small>(Optional)</small><select multiple="" autocomplete="on" title="Ethnicity" name="Ethnicity"
class="select2-hidden-accessible" id="NVSignupForm1910812-ContactInformation-Ethnicity-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="1">Afghani</option>
<option value="78">African American</option>
<option value="2">Arab</option>
<option value="21">Arabian</option>
<option value="22">Armenian</option>
<option value="4">Bangladeshi</option>
<option value="97">Bengali</option>
<option value="5">Bhutanese</option>
<option value="6">Brazilian</option>
<option value="54">Bulgarian</option>
<option value="55">Burmese</option>
<option value="56">Cambodian</option>
<option value="93">Chamorro</option>
<option value="98">Chin</option>
<option value="7">Chinese</option>
<option value="44">Czechoslovakian</option>
<option value="75">Danish</option>
<option value="46">Dutch</option>
<option value="8">East African</option>
<option value="88">Egyptian</option>
<option value="26">English (British)</option>
<option value="57">Estonian</option>
<option value="58">Ethiopian</option>
<option value="9">Filipino</option>
<option value="59">Finnish</option>
<option value="27">French</option>
<option value="28">German</option>
<option value="47">Greek</option>
<option value="10">Haitian</option>
<option value="77">Hawaiian</option>
<option value="82">Hispanic</option>
<option value="11">Hmong</option>
<option value="48">Hungarian</option>
<option value="60">Icelandic</option>
<option value="25">Indian</option>
<option value="12">Indo Carribean</option>
<option value="61">Indonesian</option>
<option value="30">Irish</option>
<option value="31">Italian</option>
<option value="32">Japanese</option>
<option value="99">Karen</option>
<option value="40">Korean</option>
<option value="13">Lao</option>
<option value="20">Latino</option>
<option value="64">Latvian</option>
<option value="90">Lebanese</option>
<option value="65">Lithuanian</option>
<option value="66">Malaysian</option>
<option value="67">Manx</option>
<option value="96">Mien</option>
<option value="83">Mixed Ethnicity</option>
<option value="101">Mongolian</option>
<option value="89">Morrocan</option>
<option value="138">Native Alaskan</option>
<option value="35">Native American</option>
<option value="14">Nepali</option>
<option value="84">Non-Hispanic White</option>
<option value="45">Norwegian</option>
<option value="136">Not Listed</option>
<option value="103">Okinawan</option>
<option value="143">Pacific Islander</option>
<option value="15">Pakistani</option>
<option value="86">Persian</option>
<option value="34">Polish</option>
<option value="68">Portuguese</option>
<option value="50">Russian</option>
<option value="39">Samoan</option>
<option value="36">Scottish</option>
<option value="104">Singaporean</option>
<option value="16">Somali</option>
<option value="17">Sri Lankan</option>
<option value="37">Swedish</option>
<option value="71">Swiss</option>
<option value="137">Tagalog</option>
<option value="105">Taiwanese</option>
<option value="72">Thai</option>
<option value="18">Tibetan</option>
<option value="106">Tongan</option>
<option value="73">Turkish</option>
<option value="51">Ukrainian</option>
<option value="120">Unknown</option>
<option value="19">Vietnamese</option>
<option value="52">Welsh</option>
<option value="87">Yemeni</option>
<option value="74">Yugoslavian</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 828px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Ethnicity" tabindex="-1">
<ul class="select2-selection__rendered">
<li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" role="textbox" aria-autocomplete="list"
placeholder="- Select -" style="width: 826px;"></li>
</ul>
</span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label></div>
<div class="at-row at-row-solo AddressLine1"><label class="at-text AddressLine1" id="NVSignupForm1910812-ContactInformation-AddressLine1">Street Address <small>(Optional)</small><input type="text" autocomplete="address-line1"
x-autocompletetype="address-line1" false="" title="Street Address" name="AddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row PostalCode City StateProvince"><label class="at-text PostalCode" id="NVSignupForm1910812-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code"
pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City" id="NVSignupForm1910812-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value="" maxlength="25">
</label><label class="at-select StateProvince" id="NVSignupForm1910812-ContactInformation-StateProvince">State<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State" name="StateProvince"
class=" required" id="NVSignupForm1910812-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="GU">GU</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="VI">VI</option>
<option value="FM">FM</option>
<option value="MH">MH</option>
<option value="PW">PW</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVSignupForm1910812-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone" id="NVSignupForm1910812-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small><input type="tel" autocomplete="mobile tel-national"
pattern="^(?:\+?1[\-. ]?)?(?:\(?([2-9]\d{2})\)?)[\-. ]?([2-9]\d{2})[\-. ]?(\d{4})(?:\s{0,2}(?:ext(?:ension)?|ex|x)\.?\s?(\d{1,5}))*$" false="" title="Mobile Phone" name="MobilePhone" value="" maxlength="">
</label></div>
<div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check YesSignMeUpForUpdatesForBinder" id="NVSignupForm1910812-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox" checked=""
name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
updates.</span></span>
</label></div>
<div class="at-row at-row-solo at-row-full UpdateMyProfile at-mode-person-only">
<div class="at-markup UpdateMyProfile at-mode-person-only" id="NVSignupForm1910812-ContactInformation-UpdateMyProfile">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVSignupForm1910812-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
<div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVSignupForm1910812-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/o_MkhmvafUayAMgnHE4Slw2?formSessionId=9744e68d-757d-4848-878e-7ea774220307&bName=chrome&dType=desktop&formVersion=6/28/2024 3:54:16 PM|6/13/2024 7:33:03 PM&fUrl=aHR0cHM6Ly93d3cud2VhcmVwbGFubmVkcGFyZW50aG9vZGFjdGlvbi5vcmcvYS9zb2xpZGFyaXR5LWNpcmNsZS1zaWduLXVw&fRef="
style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation" id="NVSignupForm1910812-AdditionalInformation">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205">
<div id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"><label name="CustomFormFieldQuestion_5484423639383205" class="checkbox-list-label"> Which event do you plan on
attending? <small>(Optional)</small><br>
<small class="checkbox-list-required-text" name="CustomFormFieldQuestion_5484423639383205-small" style="display: none"><b>Which event do you plan on attending? is required.</b></small>
</label>
</div>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2077943806688889">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2077943806688889" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2077943806688889"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2077943806688889" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2077943806688889-label">Des Moines</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2586535230113995">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2586535230113995" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2586535230113995"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2586535230113995" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_2586535230113995-label">Cedar Rapids</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_3356874180089365">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_3356874180089365" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_3356874180089365"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_3356874180089365" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_3356874180089365-label">Iowa City</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4669127792491279">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4669127792491279" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4669127792491279"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4669127792491279" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4669127792491279-label">Waterloo</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4861514752785167">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4861514752785167" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4861514752785167"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4861514752785167" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_4861514752785167-label">Sioux City</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_496953307894919">
<label class="at-check CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_496953307894919" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_496953307894919"><input
type="checkbox" name="CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_496953307894919" aria-describedby="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1910812-AdditionalInformation-CustomFormFieldQuestion_5484423639383205_CustomFormFieldQuestion_496953307894919-label">Ames</span></span>
</label>
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Planned Parenthood Advocates of Iowa Solidarity Circle Sign-Up! The Iowa Supreme Court will issue a decision on the six-week abortion ban on Friday, June 28. We are inviting our supporters across the state to Solidarity Circles for decision day. This is time for us to be together in community to talk about the decision and support one another. This event is hosted by Planned Parenthood North Central States and Planned Parenthood Advocates of Iowa. Complete this form to get details about Solidarity Circles across the state. La Corte Suprema de Iowa emitirá un fallo sobre la prohibición del aborto de seis semanas el viernes 28 de junio.Invitemos a la gente que nos apoya en todo el estado a asistir a los Círculos de Solidaridad. Este es el momento para estar juntos en comunidad, hablar sobre el fallo y apoyarnos unos a otros. Completa este formulario para obtener detalles de los Círculos Solidarios en todo el estado. ? Take future action with a single click. Log in or Sign up for FastAction Contact Information First Name Last Name Pronouns (Optional)- Select -(F)ae/(F)aer/(F)aersAny/All PronounsE/Em/EirsEy/Em/EirsHe/Him/HisHe/She/TheyHe/Them/TheirsName OnlyPer/Per/PersShe/Her/HersShe/Them/TheirsSie/Sie/HirsTey/Ter/TersThey/Them/TheirsVe/Ver/VersVe/Ver/VisXe/Xem/XyrsZe/Hir/HirsZie/Zim/Zis Gender (Optional)- Select -AgenderCisgenderGender FluidGender Non-conformingGenderqueerIntersexManNon-BinaryNot ListedTransgenderWoman * Sexual Orientation (Optional)- Select -BisexualGayLesbianNot ListedQueerStraight/Heterosexual * Race (Optional)- Select -Arab American and/or Middle EasternAsian American, East Asian, South Asian, and/or Southeast AsianBlack, African, and/or African AmericanCaucasian or WhiteHispanic and/or Latina/o/xNative American and/or IndigenousNative HawaiianNot ListedPacific Islander * Ethnicity (Optional)- Select -AfghaniAfrican AmericanArabArabianArmenianBangladeshiBengaliBhutaneseBrazilianBulgarianBurmeseCambodianChamorroChinChineseCzechoslovakianDanishDutchEast AfricanEgyptianEnglish (British)EstonianEthiopianFilipinoFinnishFrenchGermanGreekHaitianHawaiianHispanicHmongHungarianIcelandicIndianIndo CarribeanIndonesianIrishItalianJapaneseKarenKoreanLaoLatinoLatvianLebaneseLithuanianMalaysianManxMienMixed EthnicityMongolianMorrocanNative AlaskanNative AmericanNepaliNon-Hispanic WhiteNorwegianNot ListedOkinawanPacific IslanderPakistaniPersianPolishPortugueseRussianSamoanScottishSingaporeanSomaliSri LankanSwedishSwissTagalogTaiwaneseThaiTibetanTonganTurkishUkrainianUnknownVietnameseWelshYemeniYugoslavian * Street Address (Optional) Postal Code City State- State -ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYASGUMPPRVIFMMHPWAAAEAP Email Mobile Phone (Optional) Yes, sign me up for email updates. Remember me so that I can use FastAction next time. (Optional) Additional Information Which event do you plan on attending? (Optional) Which event do you plan on attending? is required. Des Moines Cedar Rapids Iowa City Waterloo Sioux City Ames Davenport Grinnell Your donation will be securely processed. SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. × Planned Parenthood Advocates of Iowa This page is controlled and operated by: Planned Parenthood Advocates of Iowa instagram * Privacy Policy * Terms of Use © 2024 Planned Parenthood Advocates of Iowa