LGBTQ+ yOUTh Group - The Phoenix Center

The yOUTh Group is for LGBTQIA+ individuals ages 12-17. The purpose of the group is to provide a safe environment to meet people, make new friends, and learn to navigate the world as a queer person or queer ally. Programming for the group is varied and depends on the interest of group members. Youth group members are highly encouraged to contribute ideas to the group. We have split the ages to create more targeted, appropriate content.

Youth Group for 12–14-year-olds meets Tuesday nights from 5:30pm to 7:30pm.

Youth Group for 15–17-year-olds meets Friday nights from 6:00pm to 8:00pm.

To join the group and get meeting details, please complete the form below.

yOUTh Group Sign Up

This form must be completed before you attend your first youth group meeting. This group is for teens ages 12-17 only.

Name
This field is for validation purposes and should be left unchanged.

Legal Name(Required)
First Last

Name you go by/Nickname(Required)
If you do not go by your legal name or your full name listed above, what should we call you?

What are your pronouns?(Required)

Your Address
Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Date of Birth(Required)
Your date of birth including month / date/ year

How do you identify in the queer community?(Required)
List all that apply. For example: Lesbian, ace, gender fluid, bi, ally, etc.

EMERGENCY CONTACT: Name of Parent / Legal Guardian(Required)
FOR EMERGENCY CONTACT ONLY: Please provide the first and last name of a parent or legal guardian.
First Last

Relationship to You(Required)
What is your relationship with your emergency contact? Is this your Mom, Dad, legal guardian (grandparent, aunt, other).

Emergency Contact Phone(Required)

Emergency Contact Email(Required)

SECOND EMERGENCY CONTACT: Name of Parent / Legal Guardian
Is there a second person we can contact if we are unable to contact your first person?
First Last

Relationship to You
What is your relationship with your emergency contact? Is this your Mom, Dad, legal guardian (grandparent, aunt, other).

Emergency Contact Phone

If you are not out to your adult, what name/prounouns should we use for you when contacting them in case of an emergency?

What School Do You Attend?(Required)

What activities would you like to see in group?(Required)
Example: Journal writing classes, stress-relief workshops, game nights, etc.

How did you hear about the group?(Required)

Do you have any medical conditions we should know about?(Required)
Example: seizures, panic attacks, etc
No
Yes

If yes, what medical issues do we need to know about?

Do you have any allergies?(Required)
No
Yes

If yes, please list all allergies.

Youth Group Notifications(Required)
Youth Group sends notifications through an app called Remind. We do not send out regular emails, however you will get one in response to this registration form. In order to receive notifications, you must download the app and sign up for our group. The code to join will be in your welcome email. Through Remind, you will receive updates about activities for the evening, staff working, weather cancelations, and more.
Yes, I will download the remind app and join the group so I will stay informed about group activities, important announcements, and cancelations.
No, thank you. I will not sign up for the app. I understand that I will not be informed about important information regarding the group and that you do not send email updates. I like surprises!

yOUTh Group Staff

Teagan Sachs
Dominic Young
Avery Beausoleil
Marzipan Eyrie
Iza Willis
Alex Collins