Intake for Discord Server
Seattle's LGBQ+ Center's Discord server is a virtual space for youth ages 12-24 across Washington State. It’s a great way to meet other queer youth, play games, and just hang out. 

Please fill out this form so that we can learn a little bit about you before your first drop-in. We'll follow up with an email and instructions on how to join the next session! Please leave a safe email address - our name may appear in your inbox as "Gay City: Seattle's LGBTQ+ Center" or similar.

Heads up, if we haven't met you in person we may ask to set up a short video call to help ensure this is a safer space for queer & trans young people. 

Learn more about our youth programs at gaycity.org/Youth or contact Daynon@gaycity.org or JingJing@gaycity.org (our youth advocacy program managers) if you have questions!
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Email *
What's your first name? Please feel free to use the name you wish us to honor. *
What's your last name?
What is your date of birth? *
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Do you identify as part of the LGBTQ+ community?
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What are your pronouns (Example: She/Her, They/Them, He/Him, Ze/Zheir, Any Pronouns, My Name) *
What best describes your race? Check all that apply *
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What is your gender? Check all that apply *
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What is your attraction orientation? check all that apply *
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Phone Number
What is your zip code? *
Preferred communication *
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Are you part of any other LGBTQ+ groups, such as a GSA or local community center program?
 If so, what has your experience been like?
How did you hear about this opportunity?
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What are you hoping for from this community? Your answers help us curate the space!
What is your Discord username? If you do not have Discord, please make an account (it's free). Here is a crash course on how to use Discord.  *
A copy of your responses will be emailed to the address you provided.
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