NMGSAN Online
Join NMGSAN online to check in, learn, offer input into upcoming online programming, and share support in affirming community! We have some ideas for online programming and ways to stay connected, and would love your input. Plus, we want to say hi and support one another. For questions, please email Hendrix (they/them), NMGSAN Program Coordinator at mia@themountaincenter.org or call/text at 505-570-3177
Name *
Age: *
Gender Pronoun *
How do you want people to describe you? Ex: She/Her/Hers, He/Him/His, They/Them/Theirs, Ze/Hir/Hirs, etc.
Email *
Phone Number *
City *
Please write the city in which you currently live.
Organization/School (if applicable)
Emergency Contact Name *
Emergency Contact Phone Number *
Relationship of Your Emergency Contact to You *
Ex: mother, boyfriend/girlfriend/theyfriend, roommate, etc.
Do you need interpreters to participate in our online services? If so, please specify what language is needed
What services are you signing up for? (Check all that apply) *
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