Fruit Loops Registration

Welcome!

Thanks for your interest in coming to Queer Club on Thursday 9th February 2023. We're excited to meet you!

Please complete the following few questions to get all signed up! It shouldn't take more than 5 minutes.

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* 1. Please provide the following information:

Name

Surname

Borough

Email Address

Mobile Number

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* 2. What name would you like to be called?

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* 3. What are your pronouns?

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* 4. How old are you?

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* 5. Are you currently being supported by an advocate at Women & Girls Network?

Yes

Not sure

If you do, what's their name?

Fruit Loops Registration

Welcome!

Question Title

* 1. Please provide the following information:

Question Title

* 2. What name would you like to be called?

Question Title

* 3. What are your pronouns?

Question Title

* 4. How old are you?

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* 5. Are you currently being supported by an advocate at Women & Girls Network?

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* 6. How did you hear about this group?