The Frederick Center Sign-In
All clients must sign-in before receiving services or support groups. All information shared here is confidential between you and our Frederick Center staff. Todos los clientes deben que registrarse antes de recibir servicios o asitir a grupos de apoyo. Toda la información compartida aqui es confidencial entre usted y nuestro personal en el Frederick Center.
Name/nombre
*
First Name
Last Name
Pronouns/pronombres
*
Email/correo electrónico
example@example.com
Date/fecha
*
-
Month
-
Day
Year
Date
What are you here for today? ¿Para qué vienes hoy?
*
Adult Dungeons and Dragons or Magic the Gathering
Aging With Pride
LGBTQ+ Craft Night
Magic the Gathering
PositiHIVity
TransFamily
Transgender and Gender Non-conforming Support Group
Worth The Wait
Young Adult Group
Youth Group
Youth Group Jr.
Youth Dungeons and Dragons
Queer Peers
Other event/otro evento
Submit
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