First Amendment Permit.
Applying for Permit for: (select one)
__ Verbal Speech
__ Internet
__ Internal Thought
__ Bumper Sticker
Select One or More of the Following. I am:
__Female
__Black
__Hispanic
__Gay
__Transgender
__White Male
Have you ever been accused of:
__ Racism?
__ Sexism?
__ Homophobia?
__ Otherism?
__ Generalized Hate?
If so, please write explanation of how you will prevent such behavior from occurring again:
____________________________
Please list three recommendations from People whom we can contact for supporting your Request. Recommendations from People of Color will be weighted appropriately.
Approved Permits are effective for thirty days from filing of application.
Please allow 90 days for Processing.
I am Laslo.
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