Registration for Equality Virginia's TIES 2019

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

Please fill out this form to register for the Transgender Information and Empowerment Summit (TIES) 2019. This allows us to better serve you.

You can learn more about the conference at www.EqualityVirginia.org/TIES. If you have questions, please contact the Equality Virginia office at info@equalityvirginia.org or 804-643-4816.

Attendee Name: *

Please provide the first and last name we should use for you, regardless of your legal name.

Attendee Email Address: *

Attendee Pronouns:

Street Address:

City:

Zip Code *

What brings you to TIES? *

Please choose all that apply:

I am a transgender/non-binary/gender non-conforming person

I am a spouse/partner of a trans/non-binary/GNC person

I am a parent/guardian/caretaker of a trans/non-binary/GNC person

I am a family member of a trans/non-binary/GNC person

I am a service provider of a trans/non-binary/GNC person

I am an ally of the trans community and I am looking to deepen my understanding

Required

Do you identify as a person of color?

Yes

Clear selection

Will you utilize Richmond-area public transportation to get to the University of Richmond campus?

Yes

Maybe

Clear selection

Will you need a handicap parking space at TIES?

Yes

Clear selection

Please list any accessibility needs you would like us to be aware of:

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