"chosen•kin" participant interest form
The intention of this Philadelphia-based group is to serve as a space where Black, Queer and Trans parenthood and all of its forms can be brought to and kept at the forefront, honored, uplifted and celebrated.

Virtual + in-person group beginning Fall 2025. Although there will be priority given to Philadelphia residents, limited out-of-state slots available upon request.

Those attending the majority of sessions would be compensated with a stipend for their commitment to their individual and collective healing.

This survey should take about 15-20 minutes to complete.

Visit chosenkin.org for more information / contact form.
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Email *
Name (First + Last) *
Phone Number *
Pronouns *
Preferred Method of Communication *
Social Media Handle

(chosen•kin is on IG @ourchosenkin - send us a friend request to follow us on our journey!)
chosen•kin is a circle that honors and holds space for Black, queer and/or trans* parents and parents-to-be.

Do you see yourself reflected in this description?
*
If yes, in what ways?
*
What feels important for us to know? We invite you share more about your identities, lived experience(s), family/ partnership structure, or any other elements of who you/ your kin are below.
Please check the box that most closely aligns with where you are currently in your parenting journey: *
Required

What are you noticing about this stage of your parenting journey?

Are you Philadelphia-based? *
Required
If you are Philadelphia-based, please share your zip code:
If not Philadelphia-based, where are you located?
If applicable, please share the number of children you are parenting, as well as their ages:
This will help to determine age-appropriate offerings, activities, and excursions outside of our virtual space.
In being part of this space, I am looking to:
*
Check all that apply. Additional space to expand on each selection provided below.
Required

Please share more about what this would ideally look and feel like for you.

*
We ask that you imagine and expand upon the selections provided above.
How do you define community? *
What is your relationship to community in this moment? *
Which topics feel most resonant to you during this stage of your journey? *
Check all that apply.
Required
List any themes/ topics that are not listed above that you would like to explore within the circle space:
What skills, wisdoms, tools, and/ or resources are you looking to receive from fellow participants? *
(examples include, but are not limited to land stewardship; herbalism; full spectrum doula support; home and world schooling resources, etc.)
What skills, wisdoms, tools, and/ or resources are you looking to offer fellow participants? *
(examples include, but are not limited to land stewardship; herbalism; full spectrum doula support; home and world schooling resources, etc.)
What skills, wisdoms, tools, and resources are you looking to receive from the space?
What community-based engagements would be of interest throughout this time?
Would you be interested in (co-)leading a community-based engagement or virtual session? *
If yes, please share more about what this would entail:
The virtual space will occur bi-weekly on Sundays between 10:30 and 12:00 PM EST beginning in Spring 2025. (With the exception of our first session, which will take place between 1:00 PM and 2:30 PM on May 4th, 2025). Are there any scheduling conflicts in the Spring and/or Summer that we should be made aware of? *
If yes, what conflicts may arise?
For new families and those who have attended only one chosen•kin retreat thus far: Would you be interested in attending an intergenerational culminating gathering/ retreat in Upstate, NY (Oct 11-14, 2025)?
Clear selection
For those who have attended more than one chosen•kin retreat thus far:

Would you be interested in attending an 
adult-specific culminating gathering/ retreat in Upstate, NY (June 20-22, 2025)?
This gathering will be skills-based and wilderness-centered, focusing on safety, sustainability, survival, and co-stewardship.
Clear selection

As part of this community, we invite contributions to a chosen•kin zine— a collective publication reflecting our stories and experiences. Would you be interested in contributing?

Clear selection
How did you hear about chosen•kin? *

If you heard about us through word of mouth, who shared this opportunity with you?

If you have any accessibility needs or accommodations that would support your participation in this space, please share below:

Are you looking to refer a friend and/ or community member to this group? *
If yes and with this person's consent, please share their name and contact information.
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