Trump Protest August 22, 2017, Participant Questions

LEGAL NOTICE: THIS FORM IS USED TO CONTACT THE LAWYERS WHO FILED THE CASE AGAINST THE CITY OF PHOENIX AND THE PHOENIX PD.

Filling out and turning in this form does not guarantee you any money or other results at all. Answers to these questions are privileged and confidential and will not be shared without permission with any persons but the attorneys for Plaintiffs.

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First and last name *

Age *

Primary language *

Email *

Phone *

Address *

Were you protesting or demonstrating on August 22, 2017, near the Phoenix Convention Center where President Trump gave a speech at a political rally? *

Were you still protesting/demonstrating on August 22, 2017, near the Phoenix Convention Center at approximately 8:30 p.m. when Phoenix Police began dispersing the crowd? *

Did you inhale or otherwise suffer the effects of the gas and/or smoke dispersed by police? *

Were you hit and/or injured by any projectile used by police to disperse the crowd? What hit you? *

Did you engage in any conduct that caused the Phoenix Police Department to use force against you? *

Did you seek medical attention for any of the above causes? *

Do you have any documentation for your presence at the protest (photos, videos, etc.)?

Anything else about the events of August 22, 2017, that you would like to share?

Disclaimer: This form is not a solicitation or an offer by the ACLU of Arizona to represent you. We cannot promise you that the information you provide will lead to any specific action on the part of the ACLU of Arizona. If you fill out this complaint form, you agree that the ACLU of Arizona or the National American Civil Liberties Union may use the information you give us, as long as we don’t include your name or email address, for one or more of the following purposes: (1) legislative testimony; (2) litigation; (3) contacting a city, state or federal agency; or (4) telling your story to the public, including the media. If the ACLU of Arizona or the American Civil Liberties Union wants to identify you, we will contact you prior to doing so. We will keep your name and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure).

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