Lavender Elders Interest Form
Hello! Thank you for taking the time to fill out this form. We are wanting to get some more information to ensure that you are as supported as possible. 

This form is for the Lavender Elders communal space. Twice a month (once in-person and once remote), we will be in community to talk, laugh, and share space for individual and group triumphs and challenges. We hope you will join us! 
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What is your name? (First and Last) *
What are your pronouns?
What is your email address? *
The goal for this group is to meet monthly on Zoom, and monthly in-person. When we meet in-person, it will most likely be in downtown Santa Barbara, at Jill's Place or at Pacific Pride headquarters. Do you require any support with attending, either in-person or remotely? *
If you selected "yes" to the above question, would you please elaborate? 
Is there any more information you would like to share with us so that we can best plan for our meetings?
Are you interested in receiving the Lavender Elders newsletter by email? *
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