Group Intake Form
Welcome to the third LGBTQ+ parent support group of 2023. Please complete the questions below in order to sign up for our LGBTQ+ Parent Support Group. If you are a couple, both parties need to complete their own form. A link will be sent to the email provided that will enable you to create an online account and complete the confidentiality paperwork. Please reach out to steph@lcsfl.com if you have any questions or concerns
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Full name *
Email address *
Date of birth *
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Contact number *
How did you hear about the group?
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Any specific concerns/topics you would like included in the group?
Do you have access to a device that will allow you to access Zoom with both microphone and camera?
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Submit
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