Community-based Sex Education at the Rhizome House
RSVP for Sex Ed that's rooted in your community! Centering youth autonomy, inclusivity, and pleasure, we'll have monthly meetings for teens 13-18 and their caring adults exploring topics like gender identity, anatomy, informed consent, and harm reduction at a developmentally appropriate level! We'll provide dinner and a caring environment, you provide curious questions and an open mind. Information about scheduling and topics will be sent to you directly ahead of meetings. To ensure a safe learning environment, we will be conducting quick screening phone calls. This form is encrypted, and we will not share your contact information beyond our sex ed list serv.
About you!
Let's get to know each other first
What should we call you?
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What pronouns should we use to address you?
*
Some examples include but are not limited to she/her/hers, he/him/his, they/them/theirs, etc.
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What's the best way for us to get in contact with you?
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Email
Phone
Other
I am a . . .
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Teen!
Caring adult in a young person's life! A parent, grandparent, guardian, caretaker, cool aunt, close family friend, etc.
Other
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Tell us about yourself!
Share as much or as little as you feel comfy with, this isn't homework
What interests you about Sex Ed? Is there anything that you're hoping to learn about? Is there anything you're hoping for your caring adult to learn about?
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Do you have a caring adult who you want us to communicate with about Sex Ed? This could be a parent, grandparent, guardian, cool aunt, close family friend, anyone who you trust and want to talk to about the stuff you're learning about.
Yeah, I have an adult who I'd like to invite.
No, it will just be me.
What are their name and pronouns?
What's the best way for us to get in touch with them?
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Tell us about yourself and your teen!
Share as much or as little as you feel comfy with
Have you talked with your teen yet about coming to Sex Ed and have they consented to it?
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Yep, we're all good to go and have talked through our boundaries!
No, we're still talking through what would make us most comfortable.
I haven't talked to them yet.
What interests you about Sex Ed? Is there anything that you're hoping for your teen to learn about? Is there anything *you* are hoping to learn about?
*
What are your teen's name and pronouns?
If they feel comfy, what's the best way for us to contact them directly?
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Dietary needs, Allergies and Accessibility
Do you have any dietary needs?
Vegetarian
Vegan
Gluten Free
Nut Free
Soy Free
Other
Do you have any allergies? How severe are they?
Examples include nuts, dairy, etc.
Does your caring adult have any dietary needs?
Vegetarian
Vegan
Gluten Free
Nut Free
Soy Free
Other
Does your caring adult have any allergies? How severe are they?
Examples include nuts, dairy, etc.
Does your teen have any dietary needs?
Vegetarian
Vegan
Gluten Free
Nut Free
Soy Free
Other
Does your teen have any allergies? How severe are they?
Examples include nuts, dairy, etc.
Do you or your teen have any thing you would like us to know about so we can make this more accessible for you? Any learning accommodations we should know about? Or mobility issues? Anything else we should know?
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