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TSAZ Registration for Group Communication
Please complete the form below to register for TSAZ group communications.
Sharing your demographics makes us all count! Your input helps our organization with grant funding. Thank You!
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Pronouns
*
He/Him/His
She/Her/Hers
They/Them/Theirs
Other:
How do you Identify
*
Trans Feminine
Trans Masculine
Gender Expansive
Ally
Other:
Required
Meeting Groups (please mark all that apply to you)
*
Trans Feminine
Trans Masculine
Gender Expansive Group
SOFFA (Significant Other, Family, Friend, Ally) Romantic
SOFFA (Significant Other, Family, Friend, Ally) Non Romantic
Tuesday Night Mixed Group
Required
Zip Code
*
Your answer
Birth Month/Year (MM/YYYY)
*
Your answer
Hispanic or Latino/a/x/e.
*
Yes
No
Prefer Not to Answer
Ethnicity and Race Categories
*
White
Native Hawaiian or Other Pacific Islander
American Indian or Native Alaskan
Asian
Black or African American
Prefer Not to Answer
Required
How did you hear about us
Pride
Website
Doctor
Friend or Family Member
Other:
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