Fields marked with an
* are required
If you prefer to mail the endorsement form download and print this document.
Click here to download the form
Endorsers are organizations, churches, groups, individuals or families who contribute funds, people, or other resources, and/or who agree to help spread the word about this event among their members and constituents. Endorsers will be identified online with links to their home or Facebook pages.
As an endorsing organization or individual/family, we/I state that we/I support the goals of the event: a lawful, nonviolent public witness to raise awareness about the need for abolition of the death penalty.
organization or group
Individual or Family
Name(s) as it should appear on our Endorsed By list on our website
check this box if you prefer to remain anonymous
Name of organization(if applicable):
District of Columbia
Zip / Post Code
We/I will alert others in our/my organization/network and encourage their participation.
We/I will help recruit other endorsers.
We/I will bring participants to the October 10 Rally
Total number of participants:
We/I can help by providing the following (transportation to the rally, overnight hospitality and/or food, other):
We/I pledge tax deductible donation so that all participants can walk for seven days without payment of any required fee for expenses such as food, support vehicles, materials, and permits.
Amount to be donated
Donations can be made online
or by check made out to Scioto Peace and Justice FOR with “Walk” in the memo line mailed with this form to
Scioto Peace and Justice-Fellowship of Reconciliation
PO box 104
Portsmouth, Ohio 45662-0104