RISE Registration (Resilience In Shared Experience)
The next 8-Week RISE (Resilience In Shared Experience) Sexual Violence Survivor Support Group series will be held virtually (via Zoom) on TUESDAYS, June 30th - August 18th, 2026 6:00pm -7:00pm.(To protect and maintain your privacy, registered participants will receive a new Zoom meeting invitation link via e-mail each week of the series.)
*Personal identifying information will not be shared.
First & Last Name
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First Name
Last Name
Preferred Name
Age
*
E-mail
*
example@example.com
Race
*
Ethnicity
*
Please Select
Non-Hispanic/Non-Latin(a)(o)(x)
Hispanic/Latin(a)(o)(x)
Gender
*
Pronouns
City
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How did you hear about us?
*
Please Select
A New Leaf Website
Social Media
Community Outreach/Event
Family Advocacy Center
Helpline
Flyer/Brochure
Law Enforcement
Other
Group Acknowledgement
*
By checking this box, I acknowledge that this is a Psycho-Educational Group which focuses on education and support. This is not a therapeutic group.
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