G!G Community Care Passport

By filling out this form you are “opting in” to participate in our Give!Guide Community Care Passport. This allows us to contact you with an invitation to our one of a kind celebration in February 2026!

Donate to any 2 or more of the following 6 local Non-Profits that support survivors: Bradley Angle, Call to Safety, Domestic Violence Resource Center, Raphael House, Rose Haven, YWCA of Greater Portland. Every gift no matter the amount helps uplift survivors and contributes to creating a more compassionate Portland.
Email *
Name *
Email *
What would you like to learn at our panel discussion in the new year?
Our panel discussion will be hosted at Rose Haven, which is ADA accessible and easy to get to using public transit. Are there any barriers you face to attend that we could accommodate?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rose Haven C.I.C..

Does this form look suspicious? Report

Google Forms