LGBTQ+ yOUTh Group

The yOUTh Group is for LGBTQA (lesbian, gay, bisexual, transgender, questioning youth and allies) individuals ages 13-17.  The purpose of the group is to provide a safe environment to virtually meet people and make new friends and to learn about and discuss other issues of interest. This group meets every Friday night at 6p.m.

To join the group and get more information, please complete the form below. Once received, we will send details about the group and the link if you would like to join the Zoom options.

 

yOUTh Group Sign Up

This form must be completed before you attend your first youth group meeting (in person or via Zoom). This group is for individuals ages 12-17 only.

Your Name(Required)
Your Address
How do you want us to send you the Zoom invite?(Required)
Your date of birth including month / date/ year
If you do not go by your legal name or your full name listed above, what name do you prefer?
What pronouns would you like for us to use when speaking to or referring to you? For example, she/her/hers, he/him/his, they/them/theirs, etc.
How do you identify?(Required)
While there are so many ways in which people identify, pick the one that best fits you. If you prefer not to pick one of the ones offered, select other. Thanks!

If you picked "other" on the previous question, please explain. Tell us how you identify and what that means to you.
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.
What is your relationship with your emergency contact? Is this your Mom, Dad, legal guardian (grandparent, aunt, other).
This field is for validation purposes and should be left unchanged.

yOUTh Group Staff
  • Jess Sampson, LCPC, Co-Director
  • Susan Ferrero, LCPC, Co-Director
  • Shannon Pivony, LCPC, Facilitator
  • Dre Duvendack-Visk, M.A.
  • Lauren Masten, MSW
  • Rob Gause-Wills
  • Alex Bowen, Peer Mentor

 Zoom Group Rules 

  • You must be between the ages of 13-17.
  • You must present in the group with video so we can see you.
  • You must respect others and give everyone a chance to talk.
  • When you are listening, please mute your device.
  • Please do not share the Zoom link with others. They too have to complete and submit the form above.