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Gender Diverse Group Series
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Community & Advocacy Updates
Registration Form
Gender Diverse Adolescents & Their Guardians
Participation
(Required)
Who is participating?
Adult and Youth
Adult only
Youth only
Name of Youth
(Required)
Please list your child's affirming name and pronouns (e.g. she/they). If your child is NOT participating, write "N/A"
Name of Parent/Guardian
(Required)
If multiple parents wish to participate, please write both their names here. Please also share your pronouns.
Email
(Required)
Consent to Email
(Required)
Selecting this box confirms your consent to be added to our email list, specific to the gender diverse groups. No identifying information is accessible or visible to others. We utilize this list as a way to send out RSVP links and other group-related notifications.
I agree to be added to Kindred Psychology's group email list.
Phone
Referral
(Required)
How did you find out about the group?
Consent
(Required)
I agree to the website privacy policy found in the footer of this webpage.
Email
This field is for validation purposes and should be left unchanged.
