New Member Application

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First Name: Last Name: What is your gender? Email: Phone: Address: City: State/Province (US/Canada) Territory (Foreign) Country: Zip: - Are you the mother of an LGBTQ child?

yes

How many children do you have who identify as LGBTQ+? How does/do your child(ren) identify? Other Mama Dragons is a support group for mothers of LGBTQIAP+ children. Why are you interested in joining this support group? Tell us a little bit about your experience with your LGBTQ+ child(ren). How did you hear about Mama Dragons? Do you speak spanish?

yes

Would you be interested in also joining our spanish speaking Mama Dragons group?

yes

Do you identify as LGBTQ+? Other Which best describes you? (check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Hispanic, LatinX, or Spanish orig.

Native Hawaiian or Other Pacific Islander

White

Other

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Next Steps

Thank you! Your application to join Mama Dragons will be reviewed by our team and we will contact you with the next steps in the process.

In the meantime we will send you an email with a link to our Guidelines.