LGBTQ+ Mental Health Hour registration form

The information which you give will be used in accordance with the General Data Protection Regulation. We will not share any information that would identify anyone unless there are safeguarding concerns. The information will be kept securely and will be kept no longer than necessary.
 

1. What is your name? *

 

2. How would you describe your gender? *

 

3. Is your gender identity the same as on your original birth certificate? *

 

4. How would you describe your sexual orientation? *

 

5. Which local authority area do you live in? *

 

Do you have any questions you would like to be asked to the guest speaker?  *

 

6. Do you have any accessibility needs for the session? *

 

7. What is your email? The Zoom link will be sent to you. *