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Registration Form
Gender Diverse Group - Families
Your Name
(Required)
Please also share your pronouns, if you feel comfortable doing so.
First
Last
I am a...
(Required)
Parent/caregiver of a trans youth
Parent/caregiver of a trans adult
Spouse/Partner of a trans adult
Family member of a trans youth
Family member of a trans adult
Other
Will anyone else be joining you?
Such as a spouse/partner. If so, please put their name(s) here.
Email
(Required)
Enter Email
Confirm Email
Additional Email
Enter Email
Confirm Email
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 for the above email address(es) to be added to Kindred Psychology's group email list.
Phone
(Required)
Referral
If you were referred by a provider or community member, please list their name/organization here.
Consent
I agree to the website privacy policy found in the footer of this webpage.
