Thank you for your interest in Atlas Youth Outreach's LGBTQIA+ Support Group. This is a brief screening questionnaire everyone interested in participating will be given to help keep the group safe and secure.
Transportation to and from group will need to be provided by the child's parent/guardian.
If you have questions or concerns about this form or about the group please contact us at
info@atlasyouthoutreach.org or call us at 314-550-7846.