Ohio GSA Network Mailing List
Please fill out the following information if you would like to be added to our mailing list. By doing so, you will receive our monthly newsletters and updates on events.

If you need assistance with this form or have other questions, please email daria@kycohio.org
Sign in to Google to save your progress. Learn more
Is your school's GSA registered with KYC? *
If your GSA isn't registered with KYC but would like to be, please email daria@kycohio.org
School Name: *
Name of Club (If your club hasn't been established yet, please note that): *
Your Name (First and Last): *
Pronouns *
Graduation Year (students only):
Role: *
Birthdate (in accordance with the Children's Online Privacy Protection Act, you must be 13 years of age or older to submit information) *
MM
/
DD
/
YYYY
Email Address *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kaleidoscope Youth Center. Report Abuse
Google Forms