Men’s Support Group
Please provide your details to receive an invitation for our Men’s Support Group. We meet on the 2nd Monday of each month from 4:30 - 5:30 PM at McGruder Resource Center. This group is open to all male-identifying individuals in the community.
Name *
Please enter your full name.
Email address
*

Please provide a valid email address.

Phone number
*
Please enter your phone number, including area code. [xxx-xxx-xxxx]
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Black Mental Health Village.

Does this form look suspicious? Report