Complimentary Membership Request

Eligibility is open to community organizers and individuals experiencing financial hardships. We want everyone who needs this community to have access to it. This request form helps us get you set up and your responses are confidential.

First Name *
Last Name *
Email *
Location (City, State) *
e.g. San Francisco, CA. Please input city/country if based outside of the United States.
Which category applies to you?
 *
Organizers are folks interested in organizing meetups with local members on our Discord.
Required
Anything you'd like us to know? (Optional) 
There will be a wait time (~2 weeks) to process complimentary applications. Once approved, you will receive an invite to the Discord to the email you provided above and have 7 days to accept the invite. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Queer Latines.

Does this form look suspicious? Report

Google Forms