Workshop Request Form
We are only scheduling remote workshops at this time.
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Name
 *
E-mail *
A copy of this form will be sent to this email address.
Contact number *
Name of Organization/Program/School
 *
Mailing Address
 *
How did you hear about us?
 *
How many workshops are you requesting?
 *
Which topic(s) are you interested in?
 *
Required
Age Groups
 *
What are the ages of the workshop participants? Check all that apply.
Required
Would you like us to mail out safer sex and/or menstruation materials to the participants?
 *
Menstruation packs include body safe pads, tampons and cups, a menstrual cycle fact card and caffeine-free herbal tea packs that can assist with cramps.

Our safer sex packs contain internal condoms, dental dams, external condoms, finger cots, a variety of lubricants, non-latex gloves, and a safer sex fact card.
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