Westchester Trans Forum
Thank you for registering for the Westchester Trans Forum! The Forum will be held on Saturday, November 17th from 11:00am-4:00pm at 250 Bryant Avenue, White Plains, NY 10605 (upstairs from The LOFT). Doors for this event open at 10:30am, and we encourage all to arrive as close to that time as possible.

We look forward to seeing you at the event!

If you experience technical difficulties when completing this form, or have questions about the event please contact The LOFT's Manager of Programs and Services, Shepard Verbas at
(914) 948-2932 x13 or shepard@loftgaycenter.org.

Email address *
Your Name (first and last) *
Your answer
Your Pronouns *
ex: she/her/hers, he/him/his, they/them/theirs
Your answer
What is your gender identity? *
Required
What is your sexual orientation? *
Required
Your Age *
Organization Name (if applicable)
Your answer
Your Phone Number *
Your answer
Do you have any dietary restrictions? *
Food will be provided at the event, please indicate any dietary restrictions so that we can best accommodate you.
What do you hope to gain from your experience at the Westchester Trans Forum?
Your answer
Additional comments
Your answer
A copy of your responses will be emailed to the address you provided.
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