Black LGBTQI+ Youth Retreat 2022 Registration: Submit by 11/28/22
Saturday, December 3rd Black LGBTQI+ Youth Retreat at Stoneview Nature Center in Culver City will provide African American youth from middle school to high school (14-18 years old) with a fun and culturally enriching opportunity to connect with other queer Black youth from across L.A. county. THIS REGISTRATION FORM IS FOR YOUTH ONLY. This session is a pilot for a camp session in 2023. Breakfast, lunch and swag bags will be provided. Please complete this form and submit by November 28th.


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Email *
NAME AND PRONOUNS *
PHONE *
RACE/ETHNICITY *
AGE *
School Name, City and State *
IDENTIFICATION (Check all that apply) *
Your Interests/Hobbies *
Parent/Caregiver phone number (if under 16) *
Will you need transportation? *
How did you hear about this retreat? *
Required
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