If you are involved in a situation that you believe Lady Liberty League should look into, please provide us with detailed information so our staff can properly assess it and advise you accordingly.  You may use our online form below, or you may download a printable copy, fill it out and send it to us.  Please fill out the form completely, to save both you and us time in followup.

Please Note: The Lady Liberty League staff will be unavailable during the month of June for Solstice-related activities.

Printed copies may be faxed to us at (608) 924-5961, or may be mailed to us at Lady Liberty League c/o Circle Sanctuary, PO Box 9, Barneveld WI US 53507. For more information, you may also email us here.

ABOUT YOU & YOUR REQUEST

Nature of Request *

For example: advice & counsel, representation, networking, court action, etc.

Urgency of Request *

Provide deadlines, dates etc.

Your full LEGAL name *

Your Street Address *

Your City / State / ZIP *

Your Email Address *

Your Daytime Phone *

Your Evening or Cell Phone

Your Fax (if applicable)

Best Days / Times to Call *

OK to call collect regarding your inquiry?

No Yes

Your Spiritual Name, Nickname or other name(s), if any

ABOUT YOUR RELIGIOUS TRADITION / PATH

Name of Tradition / Path

Years practicing

Group affiliation (if any)

Name of Elder, Teacher or Author on a similar path

Name & phone/email or a mentor or co-practitioner who can be contacted for more information

Describe your beliefs & practices *

GROUP OR FESTIVAL YOU ASSOCIATE WITH (if any)

Name

Address

Phone

Fax (if any)

Email

Your Relationship to Group/Festival

Group/Festival Website URL

YOUR ATTORNEY OR ADVOCATE (if any)

Name

Address

Phone

Fax

Email

OTHERS ASSISTING OR INVOLVED IN THIS SITUATION (if any)

Name

Address

Phone

Email

ABOUT YOUR SITUATION

Describe in detail what has happened. Include dates (in chronological order), names of individuals involved, locations, actions, etc.

Explain, in detail, why you think that you are being discriminated against and/or harassed on the basis of your religion.

Specifically what kind of contacts or assistance do you seek from LLL?

How did you come to contact LLL? How did you hear about us?

What other individuals and/or organizations have you asked to help you and what has been the response thus far?

Upload supporting documentation #1

Upload supporting documentation #2

Upload supporting documentation #3

Upload supporting documentation #4

Upload supporting documentation #5

NETWORKING HELP OPTIONS

Upon receiving your completed request, and after considering it, we will determine if we are able to help you. We may network on your behalf using one or more of the methods described below. Please check any methods that you are willing for us to use.

Give your contact info for one or more LLL specialists and/or other volunteers who may be able to help you.

Give your contact info for one or more LLL specialists and/or other volunteers who may be able to help you.

Email LLL's activists networking list with news of your case and the forms of help you seek.

Post details about case and the help you receive on the LLL main page on the internet: www.circlesanctuary.org/liberty

Call out for assistance via LLL’s Facebook account or Twitter feed

Ask other groups that network with LLL to post info on their websites and/or mailing lists

Publish your case/situation information in the LLL report; in print; and on-line: www.circlesanctuary.org/liberty

Is there anything else you'd like to tell us?

I certify that the information provided above is true and complete to my knowledge.

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