BIPOC Support Group Register
A support group for Black Indigenous and People of Color,                                  
BIPOC support groups on the 2nd and 4th Monday of the month at 6pm PT. After you fill out this form, you'll be added to the email reminder list (you can unsubscribe at any time). You'll also see the Zoom link to join after you submit this form. All of the information below is confidential. Names will only be viewed in the event of an emergency and only by support group facilitators. 
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Email *
First Name *
Last Name *
How did you hear about the group? *
Please provide a phone number of a trusted person that facilitators may contact in an emergency. This can be a family member, a friend, a sponsor or anyone that can support you. This information will be accessed if your health is in immediate risk but otherwise it will not be viewed. *
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