The Rainbow Connection Registration - November 14, 2019
The Support Group for LGBTQ+ members will be running every the Second Thursdays of the month starting NOVEMBER 2019
Email address *
Cannot pre-fill email address.
Full Name *
Nickname *
To secure confidentiality, the nickname provided will be used during the support group sessions
Age *
Gender *
Mobile Number *
Your mobile number will be receiving the confirmation of registration
Are you diagnosed with a Mental Health Condition? *
If yes, do you undergo therapy or any interventions as of the moment?
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