2SLGBTQIA+ Peer Support Group Registration
Offered collaboratively by Yúustway Health and Ayás Ménmen - if you have any questions you can reach us at wellness@squamish.net or 604 982 7830.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Preferred Pronouns
Phone Number
*
Please enter a valid phone number.
Do you reside in Squamish Valley or on the North Shore?
*
Squamish Valley
North Shore
Squamish Nation Status Number (if applicable):
Please list any dietary restrictions you may have:
The Community Health & Wellness team will reach out to you approximately 2-3 days before the start of the workshop to remind you of the workshop. How would you like to be reminded?
*
Text
Phone call
Email
I confirm that I am at least 13 years old
*
I understand
Please let us know of anything else you need from us in order to support you in this group:
Submit
Should be Empty: