Out & Safe Business or Resource Directory Addition Request
Please provide information for a business that you would like to see assessed for inclusion in the Out & Safe Business or Resource Directory. 

Completion of this form is not a guarantee of inclusion or assessment. The Out & Safe Business Directory is a resource compiled through community input and organizational partnerships. While we strive to feature businesses that are affirming and safe, we cannot guarantee individual experiences. Inclusion in this directory does not constitute an endorsement by Rainbow Youth, and we encourage individuals to use their own judgment and share feedback with us. Safety and support look different for everyone, and we are committed to updating this resource based on community needs and experiences.
Sign in to Google to save your progress. Learn more
Requestor Name *
Person requesting the business inclusion. Does not need to be the business owner, but we will request consent before including business in the directory. 
Requestor Contact Information *
Please include email address or phone number
Is this a business (for profit) or resource ? *
Business/Resource Name  *
Business/Resource Contact Person *
Who is the primary contact at this business?
Business/Resource Email *
This is the email address for direct, public communication.
Business/Resource Website *
Business/Resource Physical Address *
Business/Resource Phone Number *
Briefly describe why you would like to have this business or resource considered for inclusion in the directory :  *
Please feel free to share experiences, services, etc. that are assets of the business or resource.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rainbow Youth Inc.

Does this form look suspicious? Report

Google Forms