Roots & Shoots Registration
PEERS Alliance and Sierra Club of PEI Wild Child are partnering to bring together families with trans and gender creative children! Roots & Shoots is a program where parents & caregivers (Roots) can come together to unlearn myths about gender identity and replace those myths with knowledge and support around issues of gender diversity. At the same time, if parents and caregivers have their own trans or gender creative children under 13 years of age - those 'Shoots' are invited to participate in PEI Wild Child programming, where they have the opportunity to meet like-minded peers and frolic about in nature while being their awesomely unique and authentic selves!

Roots & Shoots is a program based on the two most important parts of a plant. The Roots are responsible for supporting and nurturing the Shoots so that they can blossom and grow into the most beautiful beings possible. Just as with plants, we know that gender creative or gender diverse children flourish in environments where they are supported rather than stifled. Our goal with this programming is to connect caregivers with the tools and resources to support the growth and exploration of the youth in their lives.

The Roots portion of the program will operate on a drop-in basis, no matter how old your trans or gender creative child is! However, the Shoots portion is only open to children age 13 or under (exceptions may be made on a case by case basis). You must register your child if they are taking part in the Shoots portion
Please list the name(s) of all Roots (parents or caregivers) participating in the program and their relationship to the Shoots (gender creative children):
Your answer
Please list the best number to reach you at:
Your answer
Please list the best email to reach you at:
Your answer
Which is the best way for us to contact you?
Please list the name(s) & age(s) of all Shoots (gender creative children under age 13) participating in the program:
Your answer
Does your Shoot(s) (gender creative child) have any siblings that wish to join?
If yes, please list the name(s) and age(s) of the siblings that will be participating:
Your answer
Please list the name and any significant medical needs for any adult or child participants (This includes information about known serious allergies, medical conditions, medications, and other physical, behavioural, or mental health information.):
Your answer
Please list any emergency contact information for the Shoots registered:
Your answer
Is there anything else you would like us to know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy