LGBTQ+ Center Lake County Support Interest Form
Thank you for your interest in one or more of the LGBTQ+ Center Lake County Support Groups. New groups are now forming! In order to best meet the needs of the community, please answer a couple quick questions so we can ensure our groups are scheduled at times most convenient to you!
Sign in to Google to save your progress. Learn more
Please indicate which groups you are interested in.
Interested
18+ Mixed Group
6-8th Grade
9-12th Grade
18-24 Mixed Group
18+ Womens Group
18+ Mens Group
Parents Group
Addiction Recovery Group
Please indicate what times/days are most convenient for you.
6a-9a
9a-noon
noon-3p
3p-6p
6p-9p
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Name
Email Address *
Phone (optional)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LGBTQ Center Lake County.

Does this form look suspicious? Report