Safe Space Registration
Join us in our LGBTQ+ Youth-centered space! Safe Space now has three separate groups with varying age ranges to better asses the needs of LGBTQ+ Youth.

Safe Space | Thursdays at 4:00p (for youth 13 & under) WEEKLY

Teen Safe Space | Thursdays at 6:00p (for youth 14+) WEEKLY

Young Adult Safe Space | Every other Wednesday at 6:00p (for youth 18+) BIWEEKLY

Please email our Youth Program Officer Ala Ochumare at youth@newhavenpridecenter.org or our Youth Programming Intern and Safe Space facilitator Kylee Herold at youthintern@newhavenpridecenter.org with any questions.

If you do not receive an invite by email after filling out this form please contact Kylee Herold (email above)
Sign in to Google to save your progress. Learn more
Name *
Pronouns
Age
Email address *
Those under 18, please put parent or guardian's name and phone number (For emergency contact only)
Which Safe Space Group would you like to register for? *
Would you like to be added to the Pride Center email list? *
What is a topic you would like to discuss?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Haven Pride Center. Report Abuse
Google Forms