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  • Group Registration Form

    Ages 18+

  • Please use this form to register for an Affirmations group!

     

    All groups serve ages 18 & up.

    If you are considering joining the group as an ally, please contact us before submitting this form to receive consent from the group for you to attend.

    We ask that groups are not observed by students for studies or similar purposes.

  • Registrant Information

  • Demographic Information

  • The requested demographic information assists us in understanding the diversity of the community members that we serve. You are not required to answer these questions.

    All demographic information will be kept confidential and will only be used for program purposes.

    If you do not wish to answer you can leave the question blank.

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