PROUD Youth Group RSVP Form
Please take the time to fill out this form before you join this week's Youth Group session/s. All this information is confidential and is collected by PPF to give us demographic information about the youth that we serve. Emergency contacts are only contacted in case of, you guessed it, emergency!

We need to collect information about your location in the event that you should disclose thoughts / plans of hurting yourself. You have to provide a specific street address.

If you have questions, feel free to email Keilani Garcia (she/her)
 at keilani@pacificpridefoundation.org.
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Which date are you RSVPing for today? *
Please note there is no PROUD Youth Group on Friday, April 16th!
Chosen First Name (Legal First Name) Last Name *
[ex: Mickey (Michael) Mouse] In PROUD Youth Group, we only ever use your chosen name- we just need your legal name in case of emergency.
Pronouns *
Email Address *
To contact you about technology updates, group agreements, etc. We'll only reach out if absolutely necessary!
Age *
Youth Group is for youth ages 12 - 17, with 18 year olds welcome if still enrolled in high school (Middle College @ SBCC is acceptable!)
School *
Please write your school's full name out and do NOT abbreviate. Example: Santa Maria High School (not SMHS).
Sexuality (pick all that apply) *
Required
Gender Identity (pick all that apply) *
Required
Are you trans (including non-binary) or cis? *
For our purposes: transgender means your gender identity does not match your assigned medical sex at birth; cisgender means your gender identity matches your assigned medical sex at birth.
Race *
Emergency Contact- Role to you (ex: Mom, Grandma) and phone number *
Is this your first session *since July 2020* that you've attended PROUD Youth Group? *
Address of Current Location *
Please try to provide an exact address. To attend Youth Group online, you need to be in as private a space as possible without others near you (I.e. parents, siblings). If you need to take a walk and sit in a park to do this, that's better than being in a room where others in your home might hear private sharings from other youth.
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