Registration Form

Gender Diverse Group - Teens

Please list your child's affirming name and pronouns (e.g. she/they).
Parent/guardian consent to participate is required.
Parent/Guardian Email(Required)
Additional Email
If your teen would like reminders sent to them too, put their email here.
How did you find out about the group?
What is your teen looking forward to most about this group?
This field is for validation purposes and should be left unchanged.