Pride Mubarak Sign Up Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

In the spirit of Pride Month, Muslims for Progressive Values Boston is hosting a fun trivia game night!!!

Please fill out this form to join our virtual event. Once we get your information, we’ll reach out with details on how to join our event.

If you have any questions, please email boston.mpv@gmail.com

Muslims for Progressive Values Mission

Name *

Name on Zoom screen *

email *

Pronouns

She/her

He/him

They/them

Other:

Clear selection

Phone

City/Town *

What motivates you to join us? Indicate your connection to the LGBTQ+ community *

I have an LGBTQ+ child

I have an LGBTQ+ sibling

I have an LGBTQ+ other relative

I am LGBTQ+

Other:

The trivia night will be recorded and the recording will be shared within the community. Please check the circle indicating that you understand that a portion of this event will be recorded. *

Yes, I understand that a portion of the talk will be recorded

Other

Thank you for your interest! If you would like to provide any more information or make a suggestion, please do it here

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms