Safe Space Registration
This is the registration form for LGBTQIA+ youth safe space. This space is for conversations, connection building, and safe space to explore concerns of our Communities, Schools, and physical and emotional well-being.
What is your name?
What are your pronouns?
How old are you?
How did you hear about Safe Space?
Will you be able to join us on Thursdays from 6pm-7pm?
Clear selection
What do you want to talk about during Safe Space?
What is your email address so we can send the zoom info to you?
Do you have someone you want to invite to Safe Space?
Submit
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This form was created inside of New Haven Pride Center. Report Abuse