Queerspora workshops Registration
Thank you for your interest in joining the Queerspora workshops In September and October 2021

The information collected below is saved in a secure location, if you have questions about this form or would like a hand filling it out, please feel free to email us at mohamad@maxottawa.ca or call us 613.701.6555 x 802
Sign in to Google to save your progress. Learn more
Email *
Welcome to our registration form
Name *
This can be your legal name and/or name you'd like us to use, including a nickname. If you have different names, please put the one(s) you'd like us to use in quotation marks (i.e. "Joe" Joseph Maxime Smith, who goes by "Joe"). You can modify this later if you want
Do you identify as newcomer GBTQ+ guy into guys? *
Gay, Bisexual, Transman, Queer?
Required
What workshop are you joining?  We encourage you to join all *
Required
When did you arrive to Ottawa
MM
/
DD
/
YYYY
MAX strives to reduce barriers for people to join our programs. Are there any barriers that make it harder or impossible for you to participate? Is there anything we  can do to make your experience more accessible?
Queerspora workshops will be offered virtually and/ or in person at MAX Office, how would you participate? *
Required
How did you hear about the Queerspora program?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Max Ottawa. Report Abuse