Vegan Pledge Application First name* Last Name* Email* Phone* Address* StateAKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYARMED FORCES AFRICA / CANADA / EUROPE / MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFIC Which pledge program are you interested in participating in?* ---Live Remote Pledge - Spring (begins May 15)Live Remote Pledge - Summer (begins June 17)Live Remote Pledge - Summer (begins July 31)Live Remote Pledge - Fall (begins September 18)Live Remote Pledge - Fall (begins October 24) How do you describe your current diet? (If you are already vegan for longer than one year and looking to sign up to mentor for this program, please fill out the form here instead.) ---New VeganAlmost VeganVegetarianFlexitarianPescatarianHealthyNo red meatOmniGluten FreePoor What is your reason for signing up for the pledge? AnimalsCooking TipsEnvironmentHealthKnowledgeMeal IdeasSee if I can do itSupport to go veganSupport someone elseWeight Loss Have you done a PAN Vegan Pledge in the past?* YesNo Tell us a bit about yourself How did you hear about the PAN Vegan Pledge?*---In-store flyerStickerWord of mouthFriend shared onlineA vegan Facebook groupMagazine adFacebook adInstagram adTwitterVegan For Woodstock CampaignGoogle searchLinkedInEventbriteNextdoorOther event site Would you like to sign up for our e-newsletter to receive recipes, resources, and event updates?*YesNo Any additional questions or concerns? * Yes, I understand that being vegan means consuming no animal products at all, for example: meat, cheese, eggs, cow/goat/sheep milk, honey, fish, seafood, gelatin, etc. Yes, I understand that I am agreeing to go vegan for 30 days starting from the first meeting of the pledge program. Yes, I understand that I am expected to attend 5 weekly meetings. Yes, I agree to not eat any animal products during the course of the Vegan Pledge program. I have read PAN's Liability Waiver* By checking this box, I agree to be contacted about the Vegan Pledge, other opportunities to get involved with PAN and ways to support PAN, and I am showing my clear intention to hereby sign this waiver, affirming the entirety of PAN's Liability Waiver. I have read PAN’s Anti-Harassment and Anti-Discrimination Policy* I acknowledge that I have received and reviewed PAN’s Anti-Harassment and Anti-Discrimination Policy and agree to abide by it. Signature:* No, I'm not actually ready to commit to the 30 day Vegan Pledge program, please sign me up for PAN's e-newsletter to receive recipes and resources instead of joining the program. One Last Step PAN is excited to support your vegan journey with our free Vegan Pledge Program. Studies show that when you make an investment in yourself, you are more likely to follow through with your commitment. Knowing this, we ask for a $10 deposit that will be fully refunded when you complete the program (participation in at least three of five program meetings). Please email us at email@example.com if a $10 deposit will prohibit your participation.