Community Support Email Group
The safety and security of our email support group members is critical. This form isn't intended to discourage you from joining. Instead, we want to ensure you and anyone else requesting to join are indeed who you are. Your information will remain secure and confidential. Only one volunteer and two board members have access to your submission. 
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First Name *
Last Name *
Email address *
Phone Number *

Are you a member of or donate to Ohio RSOL? (It's okay, you can participate without being a member or making a donation.) 

*
Are you 18 years of age or older? *
I am a *
If you are not the registry impacted citizen, please provide the name of your relative who is on the Ohio registry.

What are you looking to get out of joining a community support forum?

*

What do you think you'll bring to the community support forum?

*
I have read and agree to abide by the listserv guidelines *
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This form was created inside of OHRSOL.