Mama Bears to the Rescue Request Form
Mama Bears to the Rescue is a private Facebook group made up exclusively of moms of LGBTQ kids who love, support and affirm their own LGBTQ kids and want to share love and support with other LGBTQ people who don't have that kind of support from their own family.

The Mama Bears do things like attend same sex weddings as an affirming stand-in mom, visit an LGBTQ person in the hospital, include LGBTQ people in their holiday gatherings, send notes of encouragement, talk on the phone, text, get together for coffee or lunch etc.

The focus is on performing small acts of kindness, making connections and being a loving presence in the life of LGBTQ people who have lost support from friends and family members due to their LGBTQ status.

Fill out this form if you would like to request support for yourself or someone you know. By filling out this form you are giving permission for the information to be shared.

For more info about the Mama Bears organization visit our website realmamabears.org
First and Last name of LGBTQ person who needs support *
Gender Identity and pronouns for person who needs support *
LGBTQ+ Identity (Lesbian? Gay? Bi? Trans? Queer? etc.) *
Age of person needing support *
Birthday of person needing support (optional)
Location (city and state or province) of person needing support *
Please let us know what kind of support is needed by selecting one or more of the following options. Note: we don't offer financial support or housing *
Required
Please select the preferred method or methods of contact for person needing support *
Required
Link to Facebook Account of person needing support (optional)
Email Address of person needing support (optional)
Phone Number of person needing support (optional)
Mailing address of person needing support (optional)
Name of person filling out this form *
Email address of the person filling out this form (in case we need to contact you regarding this request) *
Any additional information you wish to share
Submit
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