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Trans Youth & Parents Support Group Interest Form
Free/donation-based
Sign up is required, as spots are limited
Contact for questions:
laura@evergreenboone.com
info@margaretkirkcounseling.com
* Indicates required question
Email
*
Your email
Name of child
*
Your answer
Child's pronouns
*
Your answer
Child's age
*
Your answer
Name of parent/guardian
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Briefly describe your interest in joining this group
*
Your answer
Will you be able to attend our first meeting, April 13th at 2p? If not, will future Saturday afternoons potentially work for you?
*
Yes
No, but I hopefully will next month
It would need to be a different day/time for us
Other:
Required
Are there any accessibility needs you have to participate in this group?
Your answer
What does your support system around your child's gender experience/expression look like? (Does your family have supporting people in your life?)
Your answer
Anything else you would like us to know?
Your answer
Send me a copy of my responses.
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