Take the Pledge - SAFE Action

1 Candidate Information

First Name *

Last Name *

Official Email Address *

For verification, please use your official government or office email address. Submissions from personal email addresses (gmail.com, yahoo.com, etc.) may require additional verification.

Official Phone Number *

Party *

Office Running For *

Position Running For *

District (if applicable)

City (if applicable)

State *

2 Vaccine Position

Do you support vaccines? *

Yes No It depends / Nuanced position

3 Short Answer Questions

What is your position on medical freedom and informed consent for vaccines? *

0/2000

What would you do to protect individual health choices if elected? (Optional)

0/2000

Is there anything else you would like voters to know about your platform? (Optional)

0/2000

Your responses will be publicly visible in our candidate directory.

SAFE Action Candidate Pledge

1 Candidate Information

2 Vaccine Position

3 Short Answer Questions

Thank You for Taking the Pledge!